| Jose Enrique Ortiz Dental Office Of California Inc | |
|
2701 Ocean Park Blvd Ste 110 Santa Monica CA 90405-5217 | |
| (424) 428-0008 | |
| Not Available |
| Full Name | Jose Enrique Ortiz Dental Office Of California Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2701 Ocean Park Blvd Ste 110, Santa Monica, California |
| Authorized Official Name and Position | Jose Enrique Ortiz (CEO) |
| Authorized Official Contact | 7874552222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Enrique Ortiz Dental Office Of California Inc 7301 W Manchester Ave Unit 121 Los Angeles CA 90045-2394 Ph: (347) 935-7921 | Jose Enrique Ortiz Dental Office Of California Inc 2701 Ocean Park Blvd Ste 110 Santa Monica CA 90405-5217 Ph: (424) 428-0008 |
| NPI Number | 1730947136 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730947136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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