MEDICARE: ADRIAN AMERICO ORTIZ PEREZ

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
1	225400000X	Rehabilitation Practitioner		CA

General Provider Information

NPI Number	:	1467396895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN AMERICO ORTIZ PEREZ

Provider Business Mailing Address
First Line	:	3444 TOLAS CT
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-3166
Country	:	US
Telephone Number	:	619-480-6903
Fax Number	:	619-480-6903

Provider Business Practice Location Address
First Line	:	3444 TOLAS CT
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-3166
Country	:	US
Telephone Number	:	619-480-6903
Fax Number	:	619-480-6903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/22/2026

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Directions to “ ADRIAN AMERICO ORTIZ PEREZ ” Practice Location

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