# EVELYN A ORTEGA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477799682
- **Authorized official:** EVELYN A ORTEGA MD (PRESIDENT)
- **Authorized official phone:** (626) 960-2771

## Contact information

- **Practice address:** 910 S SUNSET AVE, SUITE 5, WEST COVINA, CA 91790-3409
- **Practice address phone:** (626) 960-2771
- **Practice address fax:** (626) 960-8112
- **Mailing address:** PO BOX 1611, WEST COVINA, CA 91793-1611
- **Mailing address phone:** (626) 960-2771
- **Mailing address fax:** (626) 960-8112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2008
- **Last updated:** 02/19/2009