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NPI Code Detail

MEDICARE: MS. ABIGAIL D. ORTEGA LCSW

MEDICARE:  MS. ABIGAIL D. ORTEGA  LCSW
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
1104100000XSocial Worker0793301NY
21041C0700XClinical Social Worker69747CA

General Provider Information

NPI Number : 1356530265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ABIGAIL D. ORTEGA LCSW
Provider Business Mailing Address
First Line : 2929 WESTMINSTER AVE
Second Line : UNIT 3191
City : SEAL BEACH
State : CA
Zip : 90740-9100
Country : US
Telephone Number : 562-304-5988
Fax Number :
Provider Business Practice Location Address
First Line : 5500 E ATHERTON ST STE 227B
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-4018
Country : US
Telephone Number : 562-386-5887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 02/03/2023

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Directions to “ MS. ABIGAIL D. ORTEGA LCSW” Practice Location

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