Provider Demographics
NPI:1174905855
Name:ORTEGA, AMBER JO (MD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:JO
Last Name:ORTEGA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8881 FLETCHER PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3132
Mailing Address - Country:US
Mailing Address - Phone:858-499-5715
Mailing Address - Fax:619-462-9625
Practice Address - Street 1:8701 CUYAMACA ST
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071
Practice Address - Country:US
Practice Address - Phone:858-499-2715
Practice Address - Fax:619-568-8080
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2020-10-05
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Provider Licenses
StateLicense IDTaxonomies
CAA147945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine