Individual
DAMARIZ ITZEL LUIS ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
822 W 110TH ST, LOS ANGELES, CA 90044-4324
(323) 301-2121
Mailing address
822 W 110TH ST, LOS ANGELES, CA 90044-4324
(323) 301-2121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53529
CA
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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