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Individual
SYLVIA S ORTIZ
Active
Individual
SYLVIA S ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
G56555
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G56555
CA
2085U0001X
Diagnostic Ultrasound Physician
G56555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G565550
—
CA
01
—
G56555
STATE LICENSE
CA
Enumeration date
09/13/2006
Last updated
08/07/2008
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