Provider Demographics
NPI:1073692943
Name:ORLICH, MICHAEL JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:ORLICH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24785 STEWART ST 111
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1706
Mailing Address - Country:US
Mailing Address - Phone:909-558-4594
Mailing Address - Fax:909-558-4838
Practice Address - Street 1:20601 WEST PAOLI LANE
Practice Address - Street 2:
Practice Address - City:WEIMAR
Practice Address - State:CA
Practice Address - Zip Code:95736
Practice Address - Country:US
Practice Address - Phone:530-637-4111
Practice Address - Fax:530-637-4443
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2015-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA89013207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I19740Medicare UPIN
CA00A890130Medicare PIN