Basic Information
Provider Information
NPI: 1073934220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAROI
FirstName: ORRIN
MiddleName: RICKEY
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24630 WASHINGTON AVE
Address2: SUITE 200
City: MURRIETA
State: CA
PostalCode: 925626131
CountryCode: US
TelephoneNumber: 9516969353
FaxNumber: 9519737216
Practice Location
Address1: 886 MAGNOLIA AVE
Address2: SUITE 100
City: CORONA
State: CA
PostalCode: 928793105
CountryCode: US
TelephoneNumber: 9513403402
FaxNumber: 9513403416
Other Information
ProviderEnumerationDate: 12/13/2013
LastUpdateDate: 12/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X40741CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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