Provider Demographics
NPI:1225508955
Name:CORTEZ, ERIKA IMELDA
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:IMELDA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 MISSION ST APT 610
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2671
Mailing Address - Country:US
Mailing Address - Phone:415-368-3318
Mailing Address - Fax:510-251-8120
Practice Address - Street 1:1390 MISSION ST APT 610
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2671
Practice Address - Country:US
Practice Address - Phone:415-368-3318
Practice Address - Fax:510-251-8120
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst