Healthcare Provider Details

I. General information

NPI: 1184536724
Provider Name (Legal Business Name): MS. CAMILLE CORTEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. CAMILLE SALAZAR

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66755 TWO BUNCH PALMS TRL
DESERT HOT SPRINGS CA
92240-5775
US

IV. Provider business mailing address

31685 VIA VENTANA
THOUSAND PALMS CA
92276-3371
US

V. Phone/Fax

Practice location:
  • Phone: 760-251-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number260223576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: