Individual
MRS. NANCY MAYELA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
265 S ANITA DR STE 102, ORANGE, CA 92868-3335
(714) 410-3500
Mailing address
1166 W CHATEAU AVE, ANAHEIM, CA 92802-1837
(714) 334-5835
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35810
CA
Other
Enumeration date
02/19/2013
Last updated
12/07/2023
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