Individual
ANA KAREN ORTIZ ILIZALITURRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
435 H ST, CV112, CHULA VISTA, CA 91910
(619) 691-7587
Mailing address
435 H STREET, CV112, CHULA VISTA, CA 91910
(619) 691-7587
(619) 240-3508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A178949
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL172
POSTGRADUATE TRAINING LICENSE
CA
Enumeration date
03/20/2019
Last updated
06/30/2022
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