Individual
LETICIA ISABEL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6833 INDIANA AVE STE 101, RIVERSIDE, CA 92506-4223
(657) 346-6319
(951) 269-4184
Mailing address
16155 SIERRA LAKES PKWY # 160-349, FONTANA, CA 92336-1244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95024867
CA
Other
Enumeration date
04/19/2023
Last updated
02/15/2024
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