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Individual
PASCUAL JOSE ORTIZ
Active
Individual
PASCUAL JOSE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171R00000X
Interpreter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669559878
MEDICAL
CA
01
—
V8063705
DMV DL
CA
Enumeration date
03/01/2007
Last updated
09/30/2011
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