Provider Demographics
NPI:1609535749
Name:ESPINOZA RODRIGUEZ, ORLANDO
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:
Last Name:ESPINOZA RODRIGUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12401
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-2401
Mailing Address - Country:US
Mailing Address - Phone:661-376-9294
Mailing Address - Fax:
Practice Address - Street 1:2709 PAGEANT ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4764
Practice Address - Country:US
Practice Address - Phone:661-376-9294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date: