Individual
KASEY DAWN CORTESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
A74121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A741210
—
CA
Enumeration date
01/12/2007
Last updated
12/22/2021
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