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NPI Code Detail

MEDICARE: ELAINE V ORTEGA

MEDICARE: ELAINE V 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598500647
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE V ORTEGA
Provider Business Mailing Address
First Line : 4765 HUNTINGTON DR N
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-1949
Country : US
Telephone Number : 323-371-9389
Fax Number :
Provider Business Practice Location Address
First Line : 301 N LAKE AVE STE 600
Second Line :
City : PASADENA
State : CA
Zip : 91101-5129
Country : US
Telephone Number : 626-354-6440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2024
Last Update Date : 06/29/2024

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Directions to “ ELAINE V ORTEGA ” Practice Location

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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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