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1114783982
GUSTAVO ORTEGA
LOS ANGELES, CA
NPI
1114783982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 972520)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
MR. GUSTAVO ORTEGA RD
3782 W MARTIN LUTHER KING JR BLVD
LOS ANGELES, CA 90008-1703
Phone number: 323-421-2710
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Mailing Address
MR. GUSTAVO ORTEGA RD
3310 S SEPULVEDA BLVD APT 2
LOS ANGELES, CA 90034-5239
Phone number: 619-708-2634
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