Provider Demographics
NPI:1447563705
Name:OROZCO, M.DOLORES (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:M.DOLORES
Middle Name:
Last Name:OROZCO
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 JOSE FIGUERES AVE STE 485
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1597
Mailing Address - Country:US
Mailing Address - Phone:408-259-3022
Mailing Address - Fax:
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 485
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1597
Practice Address - Country:US
Practice Address - Phone:408-259-3022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA17370363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant