Organization
JAMIME O CORTES MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME O CORES M.D. (CEO)
(818) 504-7265
Entity
Organization
Contact information
Practice address
2647 INTERNATIONAL BLVD, SUITE 404, OAKLAND, CA 94601-1537
(818) 504-7265
(818) 504-1623
Mailing address
2647 INTERNATIONAL BLVD, SUITE 404, OAKLAND, CA 94601-1537
(818) 504-7265
(818) 504-1623
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A63927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A639270
—
CA
Enumeration date
05/09/2008
Last updated
05/09/2008
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