Provider Demographics
NPI:1437315769
Name:CORTEZ, DANIEL ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALEJANDRO
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 340850
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-0850
Mailing Address - Country:US
Mailing Address - Phone:916-634-7767
Mailing Address - Fax:916-672-1524
Practice Address - Street 1:6501 COYLE AVE
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0306
Practice Address - Country:US
Practice Address - Phone:916-537-5275
Practice Address - Fax:916-672-1524
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA107614207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology