Individual
GILBERT R ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9552 PRADERA AVE, MONTCLAIR, CA 91763-2112
(714) 932-1034
Mailing address
9552 PRADERA AVE, MONTCLAIR, CA 91763-2112
(714) 932-1034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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