Provider Demographics
NPI:1316173396
Name:OROPEZA, KATRINA NICOLE (DA)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:NICOLE
Last Name:OROPEZA
Suffix:
Gender:F
Credentials:DA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5827 1/4 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2236
Mailing Address - Country:US
Mailing Address - Phone:909-731-8800
Mailing Address - Fax:
Practice Address - Street 1:5827 1/4 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2236
Practice Address - Country:US
Practice Address - Phone:909-731-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA776000197126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant