Individual
MRS. AZILA KATHERINE SABILE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15260 AMALIA ST, SAN DIEGO, CA 92129-1228
(858) 366-8787
(858) 240-6200
Mailing address
15260 AMALIA ST, SAN DIEGO, CA 92129-1228
(858) 366-8787
(858) 240-6200
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
374602950
CA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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