Individual
RODOLFO ANDRES ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W 6TH ST, LOS ANGELES, CA 90017-1000
(213) 413-5151
Mailing address
5915 MALABAR ST APT 21, HUNTINGTON PARK, CA 90255-7151
(323) 715-7399
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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