Individual
MR. MIGUEL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
220 S INDIAN HILL BLVD STE D, CLAREMONT, CA 91711-4929
(818) 918-0548
Mailing address
220 S INDIAN HILL BLVD STE D, CLAREMONT, CA 91711-4929
(818) 918-0548
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018947
CA
Other
Enumeration date
11/27/2021
Last updated
02/24/2025
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