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NPI Code Detail

MEDICARE: MS. SANDRA NOEMI CORTEZ M.S.

MEDICARE: MS. SANDRA NOEMI CORTEZ M.S.
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
1106H00000XMarriage & Family TherapistIMF43716CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CNO3962OTHERCADMH
2ENK1613OTHERCALOS ANGELES DMH

General Provider Information

NPI Number : 1467583088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA NOEMI CORTEZ M.S.
Provider Business Mailing Address
First Line : 3440 ALICE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-1736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 GOODRICH BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5103
Country : US
Telephone Number : 323-832-9795
Fax Number : 323-832-9796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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