Provider Demographics
NPI:1326286287
Name:ORR LIMPISVASTI MD INC
Entity Type:Organization
Organization Name:ORR LIMPISVASTI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORR
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMPISVASTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-895-7153
Mailing Address - Street 1:351 ROLLING OAKS DR
Mailing Address - Street 2:STE 104
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1275
Mailing Address - Country:US
Mailing Address - Phone:310-895-7153
Mailing Address - Fax:310-651-9632
Practice Address - Street 1:351 ROLLING OAKS DR
Practice Address - Street 2:STE 104
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1275
Practice Address - Country:US
Practice Address - Phone:310-895-7153
Practice Address - Fax:310-651-9632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty