Individual
JASSON ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3562 1/2 BURTON AVE, LYNWOOD, CA 90262-4822
(310) 951-7120
Mailing address
3562 1/2 BURTON AVE, LYNWOOD, CA 90262-4822
(310) 951-7120
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8948
CA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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