Individual
BLANCA E ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26900 NEWPORT RD, SUITE 107, MENIFEE, CA 92584-9222
(951) 301-5380
(951) 301-5390
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
(951) 252-8588
(951) 252-8589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A62440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62440
STATE OF CALIFORNIA
CA
Enumeration date
01/05/2009
Last updated
05/10/2017
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