Provider Demographics
NPI:1811749674
Name:ORTIZ VENTURA, NATALIA OA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:OA
Last Name:ORTIZ VENTURA
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:IVAN
Other - Last Name:ORTIZ VENTURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 S LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3005
Mailing Address - Country:US
Mailing Address - Phone:323-456-9049
Mailing Address - Fax:
Practice Address - Street 1:225 S LAKE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3005
Practice Address - Country:US
Practice Address - Phone:323-456-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician