| NPI | 1760195796 |
|---|---|
| Doing Business As | LUIS CARLOS O ORTEGA |
| Entity Type | Organization |
| Authorized Contact | LUISA CARLA ORTEGA Secretary 702-629-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-06-21 |