Ortega, Evelyn A.
Ortega, Evelyn A. is an sole proprietor health care provider with primary practice located at 1433 N Hollenbeck Ave Suite 200, Covina CA 91722-1558. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ortega, Evelyn A. can be contacted via phone (626) 331-2209.Contact Information
Primary practice address
1433 N Hollenbeck Ave Suite 200
Covina CA 91722-1558
Phone: (626) 331-2209
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A33311 | California |
Profile Details
NPI number | 1366455933 |
---|---|
LBN Legal business name | Ortega, Evelyn A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 14th, 2006 |
Last updated | Dec 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366455933 | NPPES |
California | MEDICAID | 00A333110 |
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