Individual
CARMEN CORTEZ ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18518 SHERMAN WAY, RESEDA, CA 91335-4212
(818) 757-0954
Mailing address
18518 SHERMAN WAY, RESEDA, CA 91335-4212
(818) 757-0954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
09/19/2019
Last updated
04/22/2026
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