Individual
DR. ANDREW JOSEPH ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7257
Mailing address
23625 HOLMAN HWY, MONTEREY, CA 93940-5902
(831) 625-4945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A160873
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467808402
—
CA
Enumeration date
05/09/2016
Last updated
09/19/2022
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