Organization
JIVANA LLC
Active
Other names
Jivana Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEZZER ORTEGA MD (MEDICAL DIRECTOR)
(301) 951-3606
Entity
Organization
Contact information
Practice address
4927 AUBURN AVE STE 200, BETHESDA, MD 20814-2641
(301) 951-3606
(240) 215-3171
Mailing address
8347 CHERRY LN, LAUREL, MD 20707-4828
(410) 529-7880
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
09/08/2022
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