Provider Demographics
NPI:1710713995
Name:AMRAN, ORR (PA-C)
Entity type:Individual
Prefix:
First Name:ORR
Middle Name:
Last Name:AMRAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ORR
Other - Middle Name:
Other - Last Name:SWISSA-AMRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:23622 CALABASAS RD STE 123
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1589
Mailing Address - Country:US
Mailing Address - Phone:818-735-8818
Mailing Address - Fax:
Practice Address - Street 1:23622 CALABASAS RD
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1549
Practice Address - Country:US
Practice Address - Phone:818-735-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032901363AS0400X
CA65651363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty