Individual
MARIA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
316 E E ST, ONTARIO, CA 91764-3712
(909) 983-4466
(909) 983-1166
Mailing address
9124 CULPEPPER ST, RANCHO CUCAMONGA, CA 91730-1261
(626) 488-9263
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
31019
CA
Other
Enumeration date
02/06/2007
Last updated
12/26/2023
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