MEDICARE: JAMIE R CORTES MD INC

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
1	207Q00000X	Family Medicine Physician	A63927	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841445251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMIE R CORTES MD INC

Provider Business Mailing Address
First Line	:	2700 INTERNATIONAL
Second Line	:	SUITE 33
City	:	OAKLAND
State	:	CA
Zip	:	94601-1539
Country	:	US
Telephone Number	:	510-532-1070
Fax Number	:	510-532-3166

Provider Business Practice Location Address
First Line	:	2700 INTERNATIONAL BLVD
Second Line	:	SUITE 33
City	:	OAKLAND
State	:	CA
Zip	:	94601-1520
Country	:	US
Telephone Number	:	510-532-1070
Fax Number	:	510-532-3166

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAIME O CORTES II
Credential	:	MD
Telephone Number	:	510-532-1070

Provider Enumeration Date	:	11/26/2008
Last Update Date	:	05/19/2009

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