Individual
ADRIAN E. ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-0112
(323) 865-3668
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3668
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G58797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386920718
—
CA
Enumeration date
10/31/2011
Last updated
05/20/2016
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