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NPI Code Detail

MEDICARE: RUBEN ORTIZ

MEDICARE: RUBEN ORTIZ
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
1101YM0800XMental Health CounselorCA

General Provider Information

NPI Number : 1336510684
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBEN ORTIZ
Provider Business Mailing Address
First Line : 1405 SPRUCE ST. SUITE A
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1405 SPRUCE ST STE A
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2410
Country : US
Telephone Number : 951-715-5040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2015
Last Update Date : 10/13/2015

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Directions to “ RUBEN ORTIZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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