Doctor Name: | MS. PHYLLIS S ORECK |
NPI Number: | 1023294873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP, MSN |
License Number: | 380777 |
Business Practice Address: | 4938 Bruges Ave Woodland Hills, CA - 913642803 |
Business Phone Number: | 8185712096 |
Business Fax Number: | |
Mailing Address: | 4938 Bruges Ave, WOODLAND HILLS |
State: | CA |
Postal Code: | 913642803 |
Phone Number: | 8185712096 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 380777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |