Provider Demographics
NPI:1316983406
Name:ORRANGE, SHARON (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:ORRANGE
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:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-5100
Mailing Address - Fax:
Practice Address - Street 1:9033 WILSHIRE BLVD STE 406
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1847
Practice Address - Country:US
Practice Address - Phone:310-272-8222
Practice Address - Fax:310-272-8206
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA110225627OtherRAILROAD MEDICARE
CA1902846306OtherGROUP NPI
CAGROO16910OtherGROUP MEDICAID PIN
CAW18762OtherMEDICARE GROUP ID
CACE1617OtherGROUP RAILROAD MEDICARE
CA00A700540Medicaid
CAGR0100430OtherGROUP MEDICAL
CA00A700540OtherBLUE SHIELD
CA00A700540OtherBLUE SHIELD
CAW18762OtherMEDICARE GROUP ID