Individual
MR. DON JUAN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
465 COLLEGE BLVD., STE. 1, OCEANSIDE, CA 92057
(760) 630-8400
(760) 630-8594
Mailing address
12823 LUISENO ST, POWAY, CA 92064-2008
(858) 592-6540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
17862
CA
Other
Enumeration date
06/21/2006
Last updated
07/09/2007
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