Individual
ANTONIO ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 LA VERNE AVE, LONG BEACH, CA 90803-3335
(323) 804-1622
Mailing address
106 LA VERNE AVE, LONG BEACH, CA 90803-3335
(323) 804-1622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
852071
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001441
CA
Other
Enumeration date
08/04/2020
Last updated
12/18/2020
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