Provider Demographics
NPI:1184285090
Name:ORELLANA GALVEZ, MARCELA LETICIA (DPM)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:LETICIA
Last Name:ORELLANA GALVEZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:MARCELA
Other - Middle Name:
Other - Last Name:ORELLANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3971 ROXTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-2717
Mailing Address - Country:US
Mailing Address - Phone:281-917-8602
Mailing Address - Fax:
Practice Address - Street 1:7777 SOUTHWEST FWY STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1813
Practice Address - Country:US
Practice Address - Phone:713-981-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-23
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3157213ES0103X
CAEL6907213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery