Individual
PRISCILLA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
(323) 644-2000
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
(323) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
816100
CA
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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