Leonardo C Ortiz MD a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEONARDO C ORTIZ MD A MEDICAL CORPORATION

Doing business as

Oxyqual

Practice address

2145 Ashington Dr
Glendale, CA 91206-1140

Phone

(509) 589-1297

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonardo Ortiz, MD

Title

Owner

Phone

(509) 589-1297

Specialties & licenses 1

Addresses

Other names 1

• OXYQUAL Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1497381446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925162069",
            "telephone_number": "509-589-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 ASHINGTON DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061140",
            "telephone_number": "509-589-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO C ORTIZ MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-589-1297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OXYQUAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.