Edgar Ontiveros

NPI 1598007312 · on the registry since 2013

Practice

Address: 904 Willow Ave
La Puente, CA 91746
Phone: (626) 931-2851
Organisation at this address: Wings Of Refuge,Inc.
Renew Integrated Program #2
Bassett Unified School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-11-13

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