Individual
MR. RICARDO ALEJANDRO ORTIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR., SAN DIEGO, CA 92134
(646) 271-4036
Mailing address
2121 E MISSION AVE, ESCONDIDO, CA 92027-1747
(646) 271-4036
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
08/06/2016
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