Individual
JUAN CARLO CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E MARKET ST, LONG BEACH, CA 90805-5910
(562) 428-4681
Mailing address
PO BOX 4706, CARSON, CA 90749-4706
(310) 977-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2870
CA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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