Provider Information for 1134460579
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Ms. SYLVIA ORTIZ LCSW
Other Names:Former Name:SYLVIA LORENA VILLASENOR-ORTIZ LCSWSex: Female
NPI: 1134460579
Last Updated: 2024-10-18
Certification Date: 2024-10-18
Certification Date: 2024-10-18
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134460579 | ||||||||
| Enumeration Date | 2013-03-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17662 IRVINE BLVD STE 7 TUSTIN, CA 92780-3132 United States Phone: 714-726-2794 | Fax:714-997-8274 | ||||||||
| Primary Practice Address | 17662 IRVINE BLVD STE 7 TUSTIN, CA 92780-3132 United States Phone: 714-726-2794 | Fax:714-997-8274 | ||||||||
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