Provider Information for 1255567699
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GERMAN ERNESTO ORTIZ I LMFT
Sex: Male
NPI: 1255567699
Last Updated: 2024-02-26
Certification Date: 2024-02-26
Certification Date: 2024-02-26
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1255567699 | ||||||||||||||||
| Enumeration Date | 2009-05-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 13730 BRANFORD ST ARLETA, CA 91331-6221 United States Phone: 626-808-4176 | Fax: | ||||||||||||||||
| Primary Practice Address | 680 E COLORADO BLVD STE 180 PASADENA, CA 91101-6144 United States Phone: 626-808-4176 | Fax:661-524-9950 | ||||||||||||||||
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