Provider Demographics
NPI:1336023175
Name:OROZCO SANCHEZ CICCO, MOISES
Entity type:Individual
Prefix:
First Name:MOISES
Middle Name:
Last Name:OROZCO SANCHEZ CICCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 VEHICLE DR APT 150
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-2865
Mailing Address - Country:US
Mailing Address - Phone:916-235-3534
Mailing Address - Fax:
Practice Address - Street 1:1825 PRAIRIE CITY RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9578
Practice Address - Country:US
Practice Address - Phone:916-693-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician