Individual
MR. FERNANDO D ESTRADA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 1ST ST, SAN FERNANDO, CA 91340-2957
(818) 342-5897
Mailing address
7101 BAIRD AVE, RESEDA, CA 91335-4150
(818) 342-5897
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
06/10/2025
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