Individual
ANGELITO ENCABO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15099 MISSION HILLS RD, MISSION HILLS, CA 91345-1102
(819) 837-1800
Mailing address
11357 EDENBERG AVE, PORTER RANCH, CA 91326-2107
(818) 648-7032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6918
CA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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