Most Relevant Information
Provider Data
| NPI Number: | 1003365768 |
| Provider Name: | GILBERT R ORTIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 332B00000X |
| Specialty: | Durable Medical Equipment & Medical Supplies |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2016 |
| Last Updated: | 09/22/2016 |
Provider Practice Location
9552 PRADERA AVE
MONTCLAIR
CA
917632112
Practice Location Phone/Fax
| Phone: | 7149321034 |
| Fax: |
Provider Mailing Location
9552 PRADERA AVE
MONTCLAIR
CA
917632112
Provider Mailing Phone/Fax
| Phone: | 7149321034 |
| Fax: |