Provider Demographics
NPI:1518142298
Name:OROZCO LIVING CHIROPRACTIC PC
Entity Type:Organization
Organization Name:OROZCO LIVING CHIROPRACTIC PC
Other - Org Name:LIVING CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LOURDES
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-325-6977
Mailing Address - Street 1:2915 E BASELINE RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2425
Mailing Address - Country:US
Mailing Address - Phone:480-325-6977
Mailing Address - Fax:480-325-6933
Practice Address - Street 1:2915 E BASELINE RD
Practice Address - Street 2:SUITE 126
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2425
Practice Address - Country:US
Practice Address - Phone:480-325-6977
Practice Address - Fax:480-325-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty