Provider Demographics
NPI:1386149722
Name:ASOAU, ORIANA
Entity type:Individual
Prefix:
First Name:ORIANA
Middle Name:
Last Name:ASOAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2923
Mailing Address - Country:US
Mailing Address - Phone:650-342-0454
Mailing Address - Fax:
Practice Address - Street 1:27 N HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2923
Practice Address - Country:US
Practice Address - Phone:650-342-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver