Provider Demographics
NPI:1073528790
Name:ORNITZ, DONNA B (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:B
Last Name:ORNITZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:101 SOUTH SAN MATEO DRIVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3844
Mailing Address - Country:US
Mailing Address - Phone:650-342-7474
Mailing Address - Fax:650-342-9260
Practice Address - Street 1:101 SOUTH SAN MATEO DRIVE
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3844
Practice Address - Country:US
Practice Address - Phone:650-342-7474
Practice Address - Fax:650-342-9260
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-10-23
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Provider Licenses
StateLicense IDTaxonomies
CAG69819207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G698191Medicare PIN
F73624Medicare UPIN