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Organization

CHRISTOPHER ORNELAS, MD. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER CHARLES ORNELAS M.D. (OWNER)
(310) 423-1086
Entity
Organization

Contact information

Practice address
8631 W 3RD ST, SUITE 915E, LOS ANGELES, CA 90048-5901
(310) 423-1086
(310) 423-0154
Mailing address
3435 OCEAN PARK BLVD PMB 226, SUITE 107, SANTA MONICA, CA 90405-3320
(310) 423-1086
(310) 423-0154

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A112082
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A112082
MEDICAL LICENSE NUMBER
CA
Enumeration date
03/26/2013
Last updated
06/06/2013
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