Provider Demographics
NPI:1225165822
Name:OROZCO, EMILIO ALBERTO (LCSW, RN, NP, CNS)
Entity Type:Individual
Prefix:
First Name:EMILIO
Middle Name:ALBERTO
Last Name:OROZCO
Suffix:
Gender:M
Credentials:LCSW, RN, NP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 IVY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4506
Mailing Address - Country:US
Mailing Address - Phone:415-355-7555
Mailing Address - Fax:415-355-7404
Practice Address - Street 1:50 IVY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4506
Practice Address - Country:US
Practice Address - Phone:415-355-7555
Practice Address - Fax:415-355-7404
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS 219351041C0700X
CA74036163WC1500X
CA732493163WP0807X, 163WP0809X
CA19967363LP0808X, 363LP2300X
CA3515364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult