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Individual

GIOVANNI ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
920 E BROADWAY, GLENDALE, CA 91205-1204
(818) 242-8403
Mailing address
920 E BROADWAY, GLENDALE, CA 91205-1204
(818) 242-8403

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/12/2014
Last updated
12/12/2014
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