Provider Demographics
NPI:1821285859
Name:ORENSE, CELSO A (LVN)
Entity Type:Individual
Prefix:
First Name:CELSO
Middle Name:A
Last Name:ORENSE
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 N STEPHENSON ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-3362
Mailing Address - Country:US
Mailing Address - Phone:714-758-1738
Mailing Address - Fax:
Practice Address - Street 1:9758 RAVARI DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3551
Practice Address - Country:US
Practice Address - Phone:714-220-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN180954164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse