Individual
MOISES ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
(310) 846-5270
(310) 846-5278
Mailing address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
(310) 846-5270
(310) 846-5278
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/18/2011
Last updated
05/10/2025
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