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NPI Code Detail

MEDICARE: ALFONSO CORTES

MEDICARE: ALFONSO 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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1912023003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFONSO CORTES
Provider Business Mailing Address
First Line : 6617 PURDY AVE
Second Line :
City : BELL GARDENS
State : CA
Zip : 90201-3017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CORPORATE CENTER DR STE 650
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-7639
Country : US
Telephone Number : 323-526-4016
Fax Number : 323-526-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 12/10/2012

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Directions to “ ALFONSO CORTES ” Practice Location

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