Provider Demographics
NPI:1598530917
Name:ORONICO, ELISA MARIE PALABYAB
Entity Type:Individual
Prefix:
First Name:ELISA MARIE
Middle Name:PALABYAB
Last Name:ORONICO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18035 CROSSHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2546
Mailing Address - Country:US
Mailing Address - Phone:626-347-8528
Mailing Address - Fax:
Practice Address - Street 1:18035 CROSSHAVEN DR
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2546
Practice Address - Country:US
Practice Address - Phone:626-347-8528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF11220705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily