Healthcare Provider Details

I. General information

NPI: 1811237456
Provider Name (Legal Business Name): FRANKLIN ALEXANDER ORTIZ DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 MAIN ST STE G
SEAL BEACH CA
90740-6386
US

IV. Provider business mailing address

148 MAIN ST STE G
SEAL BEACH CA
90740-6386
US

V. Phone/Fax

Practice location:
  • Phone: 323-842-0976
  • Fax: 888-245-7663
Mailing address:
  • Phone: 323-842-0976
  • Fax: 888-245-7663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number39785
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: