Healthcare Provider Details

I. General information

NPI: 1326977539
Provider Name (Legal Business Name): MARLEEN CORTEZ
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25001 VETERANS WAY
MISSION VIEJO CA
92692-2735
US

IV. Provider business mailing address

25001 VETERANS WAY
MISSION VIEJO CA
92692-2735
US

V. Phone/Fax

Practice location:
  • Phone: 949-855-0162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number250128127
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: