National Provider Identifier Database

EDWYN W ORTIZ NANCE PSYCHOLOGICAL SERVICES
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

EDWYN W. ORTIZ-NANCE PSYCHOLOGICAL SERVICES
2080 N WINERY AVE
#101
FRESNO, CA93703-4817
Phone: 559-252-6353
Fax: 559-252-7964
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Exclusive Provider Organization 302F00000X

* Indicates primary specialty

NPI Profile & details for EDWYN W. ORTIZ-NANCE PSYCHOLOGICAL SERVICES

NPI Number 1396156030
Legal business name
LBN
EDWYN W. ORTIZ-NANCE PSYCHOLOGICAL SERVICES
Authorized official EDWYN ORTIZ-NANCE - (CLINICAL PSYCHOLOGIST ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/15/2014
Last updated 05/15/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PSB94020449

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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