Individual
MR. EDGAR ORTIZ MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9430 HEINER ST, BELLFLOWER, CA 90706-3058
(310) 930-1761
Mailing address
9430 HEINER ST, BELLFLOWER, CA 90706-3058
(310) 930-1761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000017542
NATABOC CERTIFICATION
—
Enumeration date
03/12/2015
Last updated
12/11/2015
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