Most Relevant Information
Provider Data
| NPI Number: | 1003349259 |
| Provider Name: | JONATHAN ORTIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2017 |
| Last Updated: | 04/05/2017 |
Provider Practice Location
58923 BUSINESS CENTER DR STE E
YUCCA VALLEY
CA
922847311
Practice Location Phone/Fax
| Phone: | 7603657209 |
| Fax: |
Provider Mailing Location
58923 BUSINESS CENTER DR STE E
YUCCA VALLEY
CA
922847311
Provider Mailing Phone/Fax
| Phone: | 7603657209 |
| Fax: |