Healthcare Provider Details

I. General information

NPI: 1467862896
Provider Name (Legal Business Name): MRS. GABRIELLA ANGELICA ORTIZ-ALEJOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 N PERRIS BLVD STE N1
PERRIS CA
92571-3251
US

IV. Provider business mailing address

2560 N PERRIS BLVD STE N1
PERRIS CA
92571-3251
US

V. Phone/Fax

Practice location:
  • Phone: 951-313-1753
  • Fax:
Mailing address:
  • Phone: 951-313-1753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-CZVOYN
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: