MEDICARE: MICDALY ORTUNO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst		CA

General Provider Information

NPI Number	:	1750220646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICDALY ORTUNO

Provider Business Mailing Address
First Line	:	1035 S GAGE AVE APT 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-2524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 S FREMONT AVE STE 101000
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-8800
Country	:	US
Telephone Number	:	840-260-0857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

Similar Medicare Providers

1508704693 — TERRIE DOMINIQ BELTON
Practice Location Address:

1000 S FREMONT AVE
ALHAMBRA, CA
91803-8800

Practice Phone: 626-349-3838
Practice Fax:

1790160273 — UNIVERSITY OF SOUTHERN CALIFORNIA
Practice Location Address:

1000 S FREMONT AVE , SUITE 10150
ALHAMBRA, CA
91803-8800

Practice Phone: 855-885-2600
Practice Fax: 626-457-4195

1184562837 — AZUCENA JASMIN REYES
Practice Location Address:

1000 S FREMONT AVE
ALHAMBRA, CA
91803-8800

Practice Phone: 626-759-9154
Practice Fax:

1043158330 — BREANNA VICTORIA SAN MIGUEL
Practice Location Address:

1000 S FREMONT AVE
ALHAMBRA, CA
91803-8800

Practice Phone: 626-349-3838
Practice Fax:

1144080417 — MELANIE BAZAN
Practice Location Address:

1000 S FREMONT AVE BLDG A10
ALHAMBRA, CA
91803-8800

Practice Phone: 626-349-3838
Practice Fax:

1548109200 — KASEY ALEXANDRA PONCE
Practice Location Address:

1000 S FREMONT AVE BLDG A10
ALHAMBRA, CA
91803-8800

Practice Phone: 626-349-3838
Practice Fax:

Directions to “ MICDALY ORTUNO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.