Provider Demographics
NPI:1164263869
Name:GARCIA ORTIZ, AYMIE-LEE
Entity type:Individual
Prefix:
First Name:AYMIE-LEE
Middle Name:
Last Name:GARCIA ORTIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 N WINCHESTER BLVD APT 137
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-6356
Mailing Address - Country:US
Mailing Address - Phone:787-598-9581
Mailing Address - Fax:
Practice Address - Street 1:440 N WINCHESTER BLVD APT 137
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-6356
Practice Address - Country:US
Practice Address - Phone:787-598-9581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CA1125531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical