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NPI Code Detail

MEDICARE: VANESSA CORTEZ

MEDICARE: VANESSA CORTEZ
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
1101YM0800XMental Health CounselorASW72560CA
2104100000XSocial WorkerASW72560CA
31041C0700XClinical Social Worker105928
41041C0700XClinical Social WorkerLCSW105928

General Provider Information

NPI Number : 1689122921
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA CORTEZ
Provider Business Mailing Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 310-756-3564
Fax Number :
Provider Business Practice Location Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 310-756-3564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2016
Last Update Date : 01/13/2023

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Directions to “ VANESSA CORTEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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