Provider Demographics
NPI:1144562596
Name:ORTEGA VERDUGO, PAULA M (DDS)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:M
Last Name:ORTEGA VERDUGO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-3075
Mailing Address - Country:US
Mailing Address - Phone:310-825-9805
Mailing Address - Fax:310-825-9805
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1001
Practice Address - Country:US
Practice Address - Phone:310-825-9805
Practice Address - Fax:310-825-9805
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP318122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist