Provider Demographics
NPI:1942711155
Name:ORLOFF, ADRIANA (PA)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ORLOFF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0427
Mailing Address - Country:US
Mailing Address - Phone:530-243-1552
Mailing Address - Fax:530-243-0916
Practice Address - Street 1:2134 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0427
Practice Address - Country:US
Practice Address - Phone:530-243-1552
Practice Address - Fax:530-243-0916
Is Sole Proprietor?:No
Enumeration Date:2017-10-14
Last Update Date:2017-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13571363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1028273OtherNCCPA