Individual
ALEJANDRO FIDEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4959 PALO VERDE ST STE 109C, MONTCLAIR, CA 91763-2358
(909) 971-3092
Mailing address
1633 AMBERWOOD DR APT 29, SOUTH PASADENA, CA 91030-5102
(310) 995-0328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21314
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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