Individual
JOHANN DONGON ORTIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSB
Contact information
Practice address
6363 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90048-5727
(310) 987-7455
Mailing address
6363 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90048-5727
(714) 312-6043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94028346
CA
104100000X
Social Worker
—
CA
Other
Enumeration date
08/08/2018
Last updated
08/15/2024
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