Individual
MR. GUSTAVO ORTEGA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3782 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-1703
(323) 421-2710
Mailing address
3310 S SEPULVEDA BLVD APT 2, LOS ANGELES, CA 90034-5239
(619) 708-2634
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
972520
CA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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