Individual
GEOVANNI CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6515 ATLANTIC AVE, BELL, CA 90201-2521
(562) 942-9625
Mailing address
6515 ATLANTIC AVE, BELL, CA 90201-2521
(562) 942-9625
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225400000X
NON PROFIT ORGANIZATION
CA
Enumeration date
08/17/2016
Last updated
03/09/2017
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