Individual
ANDREW ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(323) 725-1337
Mailing address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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