Provider Demographics
NPI:1538157615
Name:ORLINO-OLIVA, EDITHA CACHO (MD)
Entity type:Individual
Prefix:DR
First Name:EDITHA
Middle Name:CACHO
Last Name:ORLINO-OLIVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 AIRPARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2433
Mailing Address - Country:US
Mailing Address - Phone:530-241-5272
Mailing Address - Fax:530-241-3729
Practice Address - Street 1:2135 AIRPARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2433
Practice Address - Country:US
Practice Address - Phone:530-241-5272
Practice Address - Fax:530-241-3729
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32395174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87693Medicare UPIN