Healthcare Provider Details

I. General information

NPI: 1083262489
Provider Name (Legal Business Name): ESTELA CORTEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 SHADELANDS DR STE 200
WALNUT CREEK CA
94598-2525
US

IV. Provider business mailing address

PO BOX 341276
SACRAMENTO CA
95834-9176
US

V. Phone/Fax

Practice location:
  • Phone: 855-843-2476
  • Fax:
Mailing address:
  • Phone: 530-845-7213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: