EDGAR ONTIVEROS

Case Management

Active Organization
NPI: 1376821108

Practice Address

15204 LAKESHORE DR
Clearlake, CA 95422

Phone: (170) 726-3433

Specialties

Specialty Code Primary License
Case Management 251B00000X Yes -

Frequently Asked Questions

NPI 1376821108 is the National Provider Identifier for EDGAR ONTIVEROS, a Case Management provider located in Clearlake, CA. This NPI was enumerated on July 27, 2011.

Quick Facts

NPI
1376821108
Type
Organization
Enumerated
Jul 27, 2011
Last Updated
Jul 27, 2011

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