Most Relevant Information
Provider Data
| NPI Number: | 1003386715 |
| Provider Name: | RICHARD JESUS ORTEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 10596 |
Most Important Dates
| Enumeration Date: | 11/26/2018 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
2423 W MARCH LN STE 200
STOCKTON
CA
952078250
Practice Location Phone/Fax
| Phone: | 2098791145 |
| Fax: |
Provider Mailing Location
2423 W MARCH LN STE 200
STOCKTON
CA
952078250
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |