Individual
MR. FERNANDO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1073 ROSS AVE STE D, EL CENTRO, CA 92243-4371
(619) 936-1726
Mailing address
16155 SIERRA LAKES PKWY # 160-349, FONTANA, CA 92336-1244
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95024832
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024832
CA
Other
Enumeration date
04/13/2023
Last updated
07/08/2024
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