Individual
NICOLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5395 RUFFIN RD STE 204, SAN DIEGO, CA 92123-1338
(858) 571-3630
(858) 295-3948
Mailing address
5395 RUFFIN RD STE 204, SAN DIEGO, CA 92123-1338
(858) 571-3630
(858) 295-3948
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
197390
CA
Other
Enumeration date
06/05/2019
Last updated
10/11/2024
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