Provider Demographics
NPI:1609043355
Name:CIRLIG, LORIANA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:LORIANA
Middle Name:MARIA
Last Name:CIRLIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LORIANA
Other - Middle Name:MARIA
Other - Last Name:SABAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1821 S BASCOM AVE # 207
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2309
Mailing Address - Country:US
Mailing Address - Phone:408-827-5570
Mailing Address - Fax:
Practice Address - Street 1:360 DARDANELLI LN
Practice Address - Street 2:STE 1A
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1421
Practice Address - Country:US
Practice Address - Phone:408-827-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2013-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036120125207Q00000X
NV12981207Q00000X
CAA123743207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine