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Individual

DR. JANA DIANE ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
(866) 651-6882
Mailing address
91-1005 KAIHEENALU ST, EWA BEACH, HI 96706-5037
(808) 542-1385
(808) 689-6875

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY893
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000253377
HMSA
HI
01
00A0253375
HMSA
HI
01
00B0253373
HMSA
HI
01
00C0253371
HMSA
HI
01
58125800
ALOHA CARE REGULAR
HI
01
990339751-96701-A014
TRICARE
HI
01
990339751-96744-A012
TRICARE
HI
01
990339751-96792-A010
TRICARE
HI
01
990339751-96813-B015
TRICARE
HI
01
A58125800
ADVANTAGE CLIENTS-ALOHA
HI
Enumeration date
05/22/2007
Last updated
03/11/2025
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