Leslie Carol Ortiz, PNP
Nurse Practitioner, Pediatrics in Ukiah, CA. Individual provider (NPI-1).
NPI number1619981503
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1619981503
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leslie Carol Ortiz
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Certification date
- Jul 19, 2021
- Last updated
- Sep 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 416490 | CA | Yes |
Practice location
260 Hospital Dr Ste 204Ukiah, CA 95482-4568
Phone 707-463-7459 · Fax 707-468-9179
Mailing address
260 Hospital Dr Ste 204Ukiah, CA 95482-4568
Phone 707-463-7459 · Fax 707-468-9179
Other practice locations
400 N Pepper Ave
Colton, CA 92324-1819
Colton, CA 92324-1819
Phone 909-498-6277 · Fax 909-580-3235
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