Individual
DR. BERTA ELISA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4221 WILSHIRE BLVD, SUITE 290 7-A, LOS ANGELES, CA 90010-3512
(323) 969-0951
(323) 874-2022
Mailing address
PO BOX 2975, CULVER CITY, CA 90231-2975
(323) 969-0951
(323) 874-2022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 9877
CA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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