Individual
CHRISTIAN ORTEGA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1001 S SEASIDE AVE, SAN PEDRO, CA 90731-7333
(310) 521-4237
Mailing address
1001 S SEASIDE AVE, SAN PEDRO, CA 90731-7333
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3523970
—
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
03/19/2024
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