LOUIE CRESPO ORTIZ-LUIS


Address: 35455 Dumbarton Court, Newark, CA 94560
Phone: 5104941724

LOUIE CRESPO ORTIZ-LUIS (NPI# 1285983858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285983858
Entity Type Individual
Full Name LOUIE CRESPO ORTIZ-LUIS
Credential MD
Practice Address 35455 Dumbarton Court
Newark
CA 94560
Practice Telephone 5104941724
Practice Fax Number 5104941025
Mailing Telephone 5104941724
Mailing Fax Number 5104941025
Enumeration Date 2012-08-29
Last Update Date 2012-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice C50228 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 35455 DUMBARTON COURT
City NEWARK
State CA
Zip Code 94560

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City NEWARK
Zip Code 94560

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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