Individual
BILL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(951) 602-3462
(951) 358-4797
Mailing address
10984 LEMONWOOD CIR, MORENO VALLEY, CA 92557-4028
(626) 848-8827
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95123360
CA
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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