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Individual
MARYLIN B RICARDO-ORTIZ
Active
Individual
MARYLIN B RICARDO-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A29659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124045042
LOS ROBLES NPI #
CA
05
—
FHC70737F
—
CA
01
—
W1508
MEDICARE GROUP PLAN
CA
Enumeration date
07/06/2006
Last updated
12/17/2008
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