Individual
JORGE ALBERTO CORTEZ MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 E 17TH ST STE 100, SANTA ANA, CA 92705-8529
(714) 328-3728
(714) 541-7924
Mailing address
PO BOX 10947, WESTMINSTER, CA 92685-0947
(714) 317-5603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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