Individual
MATTHEW DOUGLAS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(916) 452-5724
Mailing address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(916) 452-5724
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006280
CA
Other
Enumeration date
08/11/2021
Last updated
08/18/2021
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