Provider Demographics
NPI:1508063934
Name:OLAYA, WINDY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:WINDY
Middle Name:ANN
Last Name:OLAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WINDY
Other - Middle Name:ANN
Other - Last Name:VALENZUELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1310 W STEWART DR
Mailing Address - Street 2:# 511
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3854
Mailing Address - Country:US
Mailing Address - Phone:714-564-9225
Mailing Address - Fax:855-230-1459
Practice Address - Street 1:1310 W STEWART DR
Practice Address - Street 2:# 511
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3854
Practice Address - Country:US
Practice Address - Phone:714-564-9225
Practice Address - Fax:855-230-1459
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1048242086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery