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Mr. Jose Angel Ortiz, PA-C
Medical Physician Assistant in Hesperia, California
NPI 1073523072

Jose Angel Ortiz is a Medical Physician Assistant based in Covina, CA and is specialized in Medical. Jose Angel Ortiz practices in Hesperia, CA and has the professional credentials of PA-C. The NPI Number for Jose Angel Ortiz is 1073523072 and holds a License No. PA 12395 (California).

The current practice location address for Jose Angel Ortiz is 11919 Hesperia Rd, Hesperia, CA and can be reached out via phone at 760-948-1454 and via fax at 760-948-6100.

Location: 11919 Hesperia Rd, Hesperia, CA, 91723-0637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073523072
Provider Name
Jose Angel Ortiz
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11919 Hesperia Rd, Hesperia, CA, 91723-0637
Phone Number
760-948-1454
Fax Number
760-948-6100
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0050901 05 CA
institution
Provider Business Practice Location Address Details
Address
11919 Hesperia Rd
City
Hesperia
State
California
Zip
92345-1855
Phone Number
760-948-1454
Fax Number
760-948-6100
person
Provider Business Mailing Address Details
Address
11919 Hesperia Rd
City
Hesperia
State
California
Zip
92345-1855
Phone Number
760-948-1454
Fax Number
760-948-6100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA 12395 (California)
Definition
Definition to come...
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