Individual
DR. OFELIA G ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 MAIN ST, LIVINGSTON, CA 95334
(209) 394-7913
(209) 394-9093
Mailing address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7913
(209) 394-9093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07780900
NJ
207VG0400X
Gynecology Physician
220255
NY
207VG0400X
Gynecology Physician
Primary
C142634
CA
207VG0400X
Gynecology Physician
MA07780900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067369
—
NJ
05
—
02150874
—
NY
Enumeration date
06/27/2006
Last updated
05/21/2018
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