Provider Demographics
NPI:1427187921
Name:OROZCO, EDMUNDO LUIS (MHRS)
Entity Type:Individual
Prefix:MR
First Name:EDMUNDO
Middle Name:LUIS
Last Name:OROZCO
Suffix:
Gender:M
Credentials:MHRS
Other - Prefix:MR
Other - First Name:EDMUNDO
Other - Middle Name:LUIS
Other - Last Name:OROZCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHRS
Mailing Address - Street 1:2311 LOVERIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-5117
Mailing Address - Country:US
Mailing Address - Phone:925-431-2623
Mailing Address - Fax:925-431-2644
Practice Address - Street 1:2311 LOVERIDGE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5117
Practice Address - Country:US
Practice Address - Phone:925-431-2623
Practice Address - Fax:925-431-2644
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health