Organization
EVELYN A ORTEGA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN A ORTEGA MD (PRESIDENT)
(626) 960-2771
Entity
Organization
Contact information
Practice address
910 S SUNSET AVE, SUITE 5, WEST COVINA, CA 91790-3409
(626) 960-2771
(626) 960-8112
Mailing address
PO BOX 1611, WEST COVINA, CA 91793-1611
(626) 960-2771
(626) 960-8112
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
02/19/2009
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