Provider Demographics
NPI:1598864985
Name:OROZCO, GABRIEL D (RRT)
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:D
Last Name:OROZCO
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 BRIDGEPOINTE PARKWAY
Mailing Address - Street 2:APT 313
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94404
Mailing Address - Country:US
Mailing Address - Phone:650-242-8733
Mailing Address - Fax:
Practice Address - Street 1:2201 BRIDGEPOINTE PKWY
Practice Address - Street 2:APT 313
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94404-5010
Practice Address - Country:US
Practice Address - Phone:650-242-8733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24924227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered