Provider Demographics
NPI:1851872881
Name:PATRICELLI-ORTIZ, KARINA THERESA (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:KARINA
Middle Name:THERESA
Last Name:PATRICELLI-ORTIZ
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7737 ALLENGROVE ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2612
Mailing Address - Country:US
Mailing Address - Phone:323-804-2034
Mailing Address - Fax:
Practice Address - Street 1:7737 ALLENGROVE ST
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2612
Practice Address - Country:US
Practice Address - Phone:323-804-2034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty