Individual
ANDREA VASQUEZ ORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE BLDG 18, LOS ANGELES, CA 90059-3019
(310) 730-4800
(323) 543-2193
Mailing address
1720 W 43RD PL, LOS ANGELES, CA 90062-1542
(310) 730-4800
(323) 543-2193
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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