Provider Demographics
NPI:1578823217
Name:OROSCO, JENNIFER MILLER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MILLER
Last Name:OROSCO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2801 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1701
Mailing Address - Country:US
Mailing Address - Phone:562-933-8743
Mailing Address - Fax:562-933-8744
Practice Address - Street 1:2801 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1701
Practice Address - Country:US
Practice Address - Phone:562-933-8743
Practice Address - Fax:562-933-8744
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-28
Last Update Date:2015-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA129316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics