Individual
DR. CARL ERIC ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 GROSSMONT CENTER DRIVE, BUILDING 1 SUITE 221, LA MESA, CA 91942
(619) 462-8100
(619) 462-7933
Mailing address
5565 GROSSMONT CENTER DRIVE, BUILDING 1 SUITE 221, LA MESA, CA 91942
(619) 462-8100
(619) 462-7933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G58899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G588990
MEDI-CAL
—
05
—
00G588990
—
CA
01
—
DA3229
MEDICARE RAILROAD GROUP
—
01
—
GR0059320
MEDI-CAL GROUP NUMBER
CA
01
—
ZZZ43506Z
BLUE SHIELD
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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