Orellana, Manuel A

Orellana, Manuel A is an sole proprietor health care provider with primary practice located at 2626 N California St #F, Stockton CA 95204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Orellana, Manuel A can be contacted via phone (209) 941-8073.

Contact Information

Primary practice address
2626 N California St #F Stockton CA 95204
Phone: (209) 941-8073
Fax: (209) 941-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A500440 California

Profile Details

NPI number 1609811868
LBN Legal business name Orellana, Manuel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Aug 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609811868 NPPES
California Other 00A500440 MEDICARE PROVIDER IDENTIFICATION NUMBER

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