Most Relevant Information
Provider Data
| NPI Number: | 1003335068 |
| Provider Name: | KELLY ORTIZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0807X |
| Specialty: | Registered Nurse |
| License Number: | 95105268 |
Most Important Dates
| Enumeration Date: | 09/11/2017 |
| Last Updated: | 09/11/2017 |
Provider Practice Location
730 MEDICAL CENTER CT
CHULA VISTA
CA
919116618
Practice Location Phone/Fax
| Phone: | 6193976901 |
| Fax: |
Provider Mailing Location
730 MEDICAL CENTER CT
CHULA VISTA
CA
919116618
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |