Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA VANESS ORTIZ LCSW (MEDICAL SOCIAL WORKER)
(805) 604-6025
Entity
Organization
Contact information
Practice address
2200 E GONZALES RD, OXNARD, CA 93036-0619
(805) 604-6025
(805) 604-6039
Mailing address
PO BOX 4084, WOODLAND HILLS, CA 91365-4084
(805) 604-6025
(805) 604-6039
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LCSW68432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW68432
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
09/25/2015
Last updated
09/25/2015
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