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Individual

MR. JORGE ORTEGA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
13975 MONO WAY, SONORA, CA 95370-2824
(209) 533-9600
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15733
CA

Other

Enumeration date
10/20/2006
Last updated
10/06/2022
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