Provider Demographics
NPI:1063404515
Name:GUIANG, ORLANDO G (OD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:G
Last Name:GUIANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8230 MIRA MESA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2625
Mailing Address - Country:US
Mailing Address - Phone:858-566-6670
Mailing Address - Fax:
Practice Address - Street 1:8230 MIRA MESA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2625
Practice Address - Country:US
Practice Address - Phone:858-566-6670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9901T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU376666Medicare UPIN