Orm Aniline, M.D.

Individual provider Active NPI Psychiatry Physician · Eureka, CA

NPI 1083768683 · NPPES record last updated Jan 25, 2012

Key facts

NPI
1083768683
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
G34463 (CA)
Practice address
720 Wood St
Eureka, CA 95501-4413
Phone
(707) 268-2900
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G34463 CA Yes

Addresses

Primary practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

720 Wood St
Eureka, CA 95501-4413
Phone (707) 268-2900

Other providers in Eureka, CA

All providers in Eureka, CA · Psychiatry Physician in California

Sources for this page

Verify at the official NPI Registry.