Individual
BENJAMIN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
Mailing address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42406
CA
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/07/2022
Last updated
06/10/2024
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