Provider Demographics
NPI:1376973313
Name:CANO, ORLANDO O (RCS, RCIS, FASE)
Entity Type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:O
Last Name:CANO
Suffix:
Gender:M
Credentials:RCS, RCIS, FASE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14624 SHERMAN WAY
Mailing Address - Street 2:SUITE 406
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2241
Mailing Address - Country:US
Mailing Address - Phone:818-989-9991
Mailing Address - Fax:818-373-7383
Practice Address - Street 1:14624 SHERMAN WAY
Practice Address - Street 2:SUITE 406
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2241
Practice Address - Country:US
Practice Address - Phone:818-989-9991
Practice Address - Fax:818-373-7383
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22605291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory