Individual
KELLY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 397-6901
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95105268
CA
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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