Individual
ELISA VIVIAN RACHEL ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 DWIGHT RD, ELK GROVE, CA 95758-6456
(916) 427-7141
Mailing address
935 S CALIFORNIA ST, STOCKTON, CA 95206-1407
(253) 226-5921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
04/21/2025
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