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Individual

DR. SUSANA ORTIZ SALGADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
22996 EL TORO RD STE 103, LAKE FOREST, CA 92630-4961
(949) 942-1991
(949) 942-1969
Mailing address
22996 EL TORO RD STE 109, LAKE FOREST, CA 92630-4961

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY22980
CA

Other

Enumeration date
03/08/2019
Last updated
04/11/2023
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