Healthcare Provider Details

I. General information

NPI: 1467396895
Provider Name (Legal Business Name): ADRIAN AMERICO ORTIZ PEREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 TOLAS CT
NATIONAL CITY CA
91950-3166
US

IV. Provider business mailing address

3444 TOLAS CT
NATIONAL CITY CA
91950-3166
US

V. Phone/Fax

Practice location:
  • Phone: 619-480-6903
  • Fax: 619-480-6903
Mailing address:
  • Phone: 619-480-6903
  • Fax: 619-480-6903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: