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NPI Code Detail

MEDICARE: MANUEL CORTEZ

MEDICARE: MANUEL CORTEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154787588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL CORTEZ
Provider Business Mailing Address
First Line : 1133 E RHEA ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-5125
Country : US
Telephone Number : 562-864-3722
Fax Number :
Provider Business Practice Location Address
First Line : 1133 E RHEA ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-5125
Country : US
Telephone Number : 562-864-3722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2016
Last Update Date : 03/26/2018

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Directions to “ MANUEL CORTEZ ” Practice Location

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