Healthcare Provider Details

I. General information

NPI: 1841157849
Provider Name (Legal Business Name): RICARDO ORTEGA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 LEXINGTON AVE
EL MONTE CA
91731-2608
US

IV. Provider business mailing address

3046 CASITAS AVE
LOS ANGELES CA
90039-2409
US

V. Phone/Fax

Practice location:
  • Phone: 626-453-3700
  • Fax:
Mailing address:
  • Phone: 909-782-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: