Provider Demographics
NPI:1376514984
Name:LIMPISVASTI, ORR (MD)
Entity Type:Individual
Prefix:DR
First Name:ORR
Middle Name:
Last Name:LIMPISVASTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 E KATELLA AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-5945
Mailing Address - Country:US
Mailing Address - Phone:310-665-7200
Mailing Address - Fax:714-937-1009
Practice Address - Street 1:6801 PARK TER STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1546
Practice Address - Country:US
Practice Address - Phone:310-665-7200
Practice Address - Fax:310-665-7138
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81635207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH97509Medicare UPIN