Provider Demographics
NPI:1124500111
Name:ORTIGA, SHERRYN DIOKNO (RRT-NPS, BS)
Entity type:Individual
Prefix:MS
First Name:SHERRYN
Middle Name:DIOKNO
Last Name:ORTIGA
Suffix:
Gender:F
Credentials:RRT-NPS, BS
Other - Prefix:
Other - First Name:SHERRYN
Other - Middle Name:DIOKNO
Other - Last Name:TICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14620 TERRYKNOLL DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-1307
Mailing Address - Country:US
Mailing Address - Phone:310-918-5497
Mailing Address - Fax:
Practice Address - Street 1:9333 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2812
Practice Address - Country:US
Practice Address - Phone:562-657-8852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA195672279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics