Individual
ALFONSO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9014 HASKELL AVE, NORTH HILLS, CA 91343-3112
(818) 987-2010
Mailing address
9014 HASKELL AVE, NORTH HILLS, CA 91343-3112
(818) 987-2010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012833887
KAISER
CA
Enumeration date
10/26/2015
Last updated
10/26/2015
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