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R & L ORTEGA PLLC NPI 1770609042


NPI Information

NPI: 1770609042
Provider Name: R & L ORTEGA PLLC

Doing Business As: ABUNDANT LIFE FAMILY MEDICINE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
520 N MONTE VISTA ST
SUITE A
ADA, OK
ZIP 74820
Phone: (580) 272-0922
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R & L ORTEGA PLLC is a clinic center in Ada, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). R & L ORTEGA PLLC NPI is 1770609042. The provider is registered as an organization entity type.
The provider Is Doing Business As Abundant Life Family Medicine.

The provider's business location address is:

520 N MONTE VISTA ST
SUITE A
ADA, OK
ZIP 74820-674
Phone: (580) 272-0922
Fax: (580) 272-0811

The provider's authorized official is Leandrita Flores Ortega .
The authorized official title is Manager and has the following contact phone number (580) 272-0922.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 2/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center23586OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200102180AMEDICAIDOKLAHOMA
2I26238MEDICARE UPINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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