Organization
LUIS CARLOS O ORTEGA
Active
Other names
Luis Carlos O Ortega
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUISA CARLA ORTEGA (SECRETARY)
(702) 629-0131
Entity
Organization
Contact information
Practice address
620 S TONOPAH DR, LAS VEGAS, NV 89106-4029
(702) 413-1391
(702) 413-1392
Mailing address
620 S TONOPAH DR, LAS VEGAS, NV 89106-4029
(702) 413-1391
(702) 413-1392
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019513
—
NV
Enumeration date
01/04/2023
Last updated
06/21/2023
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