Provider Demographics
NPI:1821076670
Name:ZORRILLA, ORLANDO ERNESTO (DPM)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:ERNESTO
Last Name:ZORRILLA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1212
Mailing Address - Country:US
Mailing Address - Phone:626-282-3157
Mailing Address - Fax:626-282-3727
Practice Address - Street 1:323 W LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1212
Practice Address - Country:US
Practice Address - Phone:626-282-3157
Practice Address - Fax:626-282-3727
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3449213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT19334Medicare UPIN