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NPI Code Detail

MEDICARE: ELIZABETH URRUTIA CORTEZ

MEDICARE: ELIZABETH URRUTIA 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
1101YM0800XMental Health Counselor95540CA
2104100000XSocial Worker95540CA
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1477114767
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH URRUTIA CORTEZ
Provider Business Mailing Address
First Line : 13107 BROCK AVE
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-2408
Country : US
Telephone Number : 626-939-4600
Fax Number :
Provider Business Practice Location Address
First Line : 1717 W MERCED AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3406
Country : US
Telephone Number : 626-939-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 01/09/2026

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Directions to “ ELIZABETH URRUTIA CORTEZ ” Practice Location

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