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NPI Code Detail

MEDICARE: MR. JORGE A ORTEGA

MEDICARE:  MR. JORGE A ORTEGA
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
11041C0700XClinical Social Worker88911CA

General Provider Information

NPI Number : 1417208992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JORGE A ORTEGA
Provider Business Mailing Address
First Line : 222 S HILL ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3506
Country : US
Telephone Number : 213-842-6254
Fax Number :
Provider Business Practice Location Address
First Line : 222 S HILL ST STE 600222S
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3506
Country : US
Telephone Number : 213-738-2868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2012
Last Update Date : 05/05/2025

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Directions to “ MR. JORGE A ORTEGA ” Practice Location

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