MEDICARE: JAMIME O CORTES MD

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	208D00000X	General Practice 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	:	1427225390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMIME O CORTES MD

Provider Business Mailing Address
First Line	:	2647 INTERNATIONAL BLVD
Second Line	:	SUITE 404
City	:	OAKLAND
State	:	CA
Zip	:	94601-1537
Country	:	US
Telephone Number	:	818-504-7265
Fax Number	:	818-504-1623

Provider Business Practice Location Address
First Line	:	2647 INTERNATIONAL BLVD
Second Line	:	SUITE 404
City	:	OAKLAND
State	:	CA
Zip	:	94601-1537
Country	:	US
Telephone Number	:	818-504-7265
Fax Number	:	818-504-1623

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAIME O CORES
Credential	:	M.D.
Telephone Number	:	818-504-7265

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/09/2008

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Directions to “JAMIME O CORTES MD ” Practice Location

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