Individual
NICOLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5643 COPLEY DR STE 110, SAN DIEGO, CA 92111-7903
(858) 215-4512
(858) 737-1452
Mailing address
5643 COPLEY DRIVE, SUITE 110, SAN DIEGO, CA 92111
(858) 215-4512
(858) 737-1452
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
06/10/2026
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