Provider Demographics
NPI:1962681676
Name:ORLAND CHILDREN'S CENTER
Entity Type:Organization
Organization Name:ORLAND CHILDREN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:YUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-865-5400
Mailing Address - Street 1:203 WALKER ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-1450
Mailing Address - Country:US
Mailing Address - Phone:530-865-5400
Mailing Address - Fax:
Practice Address - Street 1:203 WALKER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1450
Practice Address - Country:US
Practice Address - Phone:530-865-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73465208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A734650Medicaid