Individual
JONATHAN CHANCE ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 S BROAD ST, NEW ORLEANS, LA 70125-2942
(504) 309-5061
Mailing address
3300 S BROAD ST, NEW ORLEANS, LA 70125-2942
(504) 309-5061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A194989
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
01/28/2026
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