Individual
LOUIE CRESPO ORTIZ-LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35455 DUMBARTON COURT, NEWARK, CA 94560
(510) 494-1724
(510) 494-1025
Mailing address
35455 DUMBARTON COURT, NEWARK, CA 94560
(510) 494-1724
(510) 494-1025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C50228
CA
Other
Enumeration date
08/29/2012
Last updated
10/17/2012
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