Provider Demographics
NPI:1790703403
Name:PILE, ORLANDO H (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:H
Last Name:PILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1726
Mailing Address - Country:US
Mailing Address - Phone:310-674-7453
Mailing Address - Fax:310-672-7264
Practice Address - Street 1:140 W QUEEN ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1726
Practice Address - Country:US
Practice Address - Phone:310-674-7453
Practice Address - Fax:310-672-7264
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32029207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A320290Medicaid
CAA32029Medicare ID - Type Unspecified
CA00A320290Medicaid