Provider Demographics
NPI:1790294015
Name:BINTINTAN, AURICA OROS
Entity Type:Individual
Prefix:
First Name:AURICA OROS
Middle Name:
Last Name:BINTINTAN
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 1:26771 VIA VICTORIA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-3433
Mailing Address - Country:US
Mailing Address - Phone:949-380-1143
Mailing Address - Fax:
Practice Address - Street 1:26771 VIA VICTORIA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3433
Practice Address - Country:US
Practice Address - Phone:949-380-1143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility