Individual
JOSEPH THAI ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(833) 574-2273
Mailing address
1047 HAMPDEN CT, UPLAND, CA 91786-6324
(310) 920-8849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139163
CA
Other
Enumeration date
09/16/2022
Last updated
09/26/2023
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