Individual
JUSTIN BARONIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1779 WOODSIDE RD STE 102, REDWOOD CITY, CA 94061-3461
(650) 780-9700
Mailing address
4812 STEPPE CT, ELK GROVE, CA 95757-1665
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000029307
CA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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