Individual provider · NPI-1

Olivia Jacqueline Ortega, N.P.

Nurse Practitioner, Obstetrics & Gynecology · Fontana, CA

NPI number1083886576

StatusActive

Last updated in NPPESOct 23, 2021

Details

NPI: 1083886576
Entity type: Individual (NPI-1)
Name: Mrs. Olivia Jacqueline Ortega
Credential: N.P.
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 25, 2008
Certification date: Oct 23, 2021
Last updated: Oct 23, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LX0001X	Nurse Practitioner, Obstetrics & Gynecology	17807	CA	Yes

Practice location

9985 Sierra Ave
Fontana, CA 92335-6720

Phone 909-809-3287

Mailing address

9985 Sierra Ave
Fontana, CA 92335-6720

Phone 909-809-3287

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