Individual
CARLA BERNADETTE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12369 FIGTREE ST, SAN DIEGO, CA 92131-3220
(858) 536-1287
Mailing address
PO BOX 192, POWAY, CA 92074-0192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G62825
CA
Other
Enumeration date
12/23/2021
Last updated
12/28/2021
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