Individual
BRIAN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1451 SHATTUCK AVE, BERKELEY, CA 94709-1410
(510) 849-0484
Mailing address
532 30TH ST APT 4, OAKLAND, CA 94609-3223
(978) 983-4559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH82264
CA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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