Organization
A AND D AT CORTEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE POSA ADMINISTRATOR (LICENSEE)
(760) 325-4146
Entity
Organization
Contact information
Practice address
378 W CORTEZ RD, PALM SPRINGS, CA 92262-1910
(760) 325-4146
(760) 325-4114
Mailing address
378 W CORTEZ RD, PALM SPRINGS, CA 92262-1910
(760) 325-4146
(760) 325-4114
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
336413-075
CA
311500000X
Alzheimer Center (Dementia Center)
336413-076
CA
311500000X
Alzheimer Center (Dementia Center)
336413-077
CA
311500000X
Alzheimer Center (Dementia Center)
336413-078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336413-075
—
CA
Enumeration date
07/29/2010
Last updated
07/29/2010
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