Provider Demographics
NPI:1578823217
Name:OROSCO, JENNIFER MILLER (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MILLER
Last Name:OROSCO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 N MAPLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1214
Mailing Address - Country:US
Mailing Address - Phone:949-933-9826
Mailing Address - Fax:
Practice Address - Street 1:2651 IRVINE AVE STE 152
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-6649
Practice Address - Country:US
Practice Address - Phone:949-781-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-28
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA129316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics