Individual
DAMIAN CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1297 W HOBSONWAY, BLYTHE, CA 92225-1423
(760) 791-0513
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
MPSS-LQDCXE
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
—
CA
Other
Enumeration date
12/31/2024
Last updated
04/02/2026
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