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Individual

DR. LUIS CARLOS ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 S TONOPAH DR, LAS VEGAS, NV 89106-4029
(702) 413-1391
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
6969
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019513
NV
01
1760195796
GROUP NPI
NV
Enumeration date
09/20/2006
Last updated
02/04/2023
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