Individual
MR. ELDER ORLANDO AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15243 VANOWEN ST STE 107, VAN NUYS, CA 91405-3633
(818) 787-8473
(818) 787-8671
Mailing address
4890 HARTWICK ST, EAGLE ROCK, CA 90041-2247
(323) 989-0180
(323) 989-0185
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13018
CA
Other
Enumeration date
01/18/2007
Last updated
04/04/2023
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