Ortiz, Jose Angel

Ortiz, Jose Angel is an individual health care provider with primary practice located at 11919 Hesperia Rd , Hesperia CA 92345-1855. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ortiz, Jose Angel can be contacted via phone (760) 948-1454.

Contact Information

Primary practice address
11919 Hesperia Rd Hesperia CA 92345-1855
Phone: (760) 948-1454
Fax: (760) 948-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 12395 California

Profile Details

NPI number 1073523072
LBN Legal business name Ortiz, Jose Angel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073523072 NPPES
California MEDICAID GR0050901

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