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1790048296
SAMUEL FRANCISCO ORTIZ
SANTA ANA, CA
NPI
1790048296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 101YA400X)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
Mr. SAMUEL FRANCISCO ORTIZ
1525 E 17TH ST STE B
SANTA ANA, CA 92705-8523
Phone number: 714-542-0400
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Mailing Address
Mr. SAMUEL FRANCISCO ORTIZ
2310 RAYMOND AVE
LOS ANGELES, CA 90007-1552
Phone number: 310-569-9552
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