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NPI Code Detail

MEDICARE: BRENDA M CORTES

MEDICARE: BRENDA M CORTES
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1295578615
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA M CORTES
Provider Business Mailing Address
First Line : PO BOX 19002
Second Line :
City : NEWBURY PARK
State : CA
Zip : 91319-9002
Country : US
Telephone Number : 805-512-3199
Fax Number :
Provider Business Practice Location Address
First Line : 501 MARIN ST STE 225
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-4301
Country : US
Telephone Number : 805-379-1401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2024
Last Update Date : 07/09/2025

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Directions to “ BRENDA M CORTES ” Practice Location

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