Provider Demographics
NPI:1891523288
Name:MALGOORZATA ORCUTT CORP
Entity type:Organization
Organization Name:MALGOORZATA ORCUTT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE MARRIAGE AND FAMILY THERAPI
Authorized Official - Prefix:
Authorized Official - First Name:MALGORZATA
Authorized Official - Middle Name:INGA
Authorized Official - Last Name:ORCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-554-9481
Mailing Address - Street 1:2102 BUSINESS CENTER DR STE 208
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1001
Mailing Address - Country:US
Mailing Address - Phone:949-554-9481
Mailing Address - Fax:
Practice Address - Street 1:2102 BUSINESS CENTER DR STE 208
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1001
Practice Address - Country:US
Practice Address - Phone:949-554-9481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)