Individual
DR. EVELYN A. ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1433 N HOLLENBECK AVE, SUITE 200, COVINA, CA 91722-1558
(626) 331-2209
Mailing address
1433 N HOLLENBECK AVE, SUITE 200, COVINA, CA 91722-1558
(626) 331-2209
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A33311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A333110
—
CA
Enumeration date
08/14/2006
Last updated
12/14/2011
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