SearchCalifornia101YP2500X

Justin Wortman

NPI 1316377732 · on the registry since 2013 · sole proprietor

Practice

Address
58945 Business Center Dr
#D
Yucca Valley, CA 92284
Phone
(760) 228-9657
Organisation at this address
Pacific Clinics
Pacific Clinics
Pacific Clinics
Pacific Clinics
Pacific Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California