Individual
ANGEL MARCANTHONY ORTEGA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 UNIVERSITY AVE, RIVERSIDE, CA 92501-3199
(951) 683-6596
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13673-R
CA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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