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Angel Fabio Orellana

Student in an Organized Health Care Education/Training Program in Pacoima, CA. Individual provider (NPI-1).

NPI number1679479224
StatusActive
Last updated in NPPESOct 19, 2026

Details

NPI
1679479224
Entity type
Individual (NPI-1)
Name
Angel Fabio Orellana
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 19, 2026
Certification date
Oct 19, 2026
Last updated
Oct 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramE45E0BA275CAYes

Practice location

11016 Norris Ave
Pacoima, CA 91331-2569

Phone 818-899-0201

Mailing address

11016 Norris Ave
Pacoima, CA 91331-2569

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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