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NPI Code Detail

MEDICARE: GERMAN ERNESTO ORTIZ I LMFT

MEDICARE: GERMAN ERNESTO ORTIZ I LMFT
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
1106H00000XMarriage & Family TherapistAMFT110663CA
2225400000XRehabilitation Practitioner
3106H00000XMarriage & Family Therapist130408CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
192-2633765OTHERCAMEDICAL

General Provider Information

NPI Number : 1255567699
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERMAN ERNESTO ORTIZ I LMFT
Provider Business Mailing Address
First Line : 13730 BRANFORD ST
Second Line :
City : ARLETA
State : CA
Zip : 91331-6221
Country : US
Telephone Number : 626-808-4176
Fax Number :
Provider Business Practice Location Address
First Line : 680 E COLORADO BLVD STE 180
Second Line :
City : PASADENA
State : CA
Zip : 91101-6144
Country : US
Telephone Number : 626-808-4176
Fax Number : 661-524-9950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2009
Last Update Date : 02/26/2024

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