Provider Demographics
NPI:1619188471
Name:CORTES, GIL (MSW)
Entity Type:Individual
Prefix:MR
First Name:GIL
Middle Name:
Last Name:CORTES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:JOSE
Other - Middle Name:GIL
Other - Last Name:CORTES-MUNOZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:3417 BRIDLE DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-5707
Mailing Address - Country:US
Mailing Address - Phone:510-889-1939
Mailing Address - Fax:510-793-3972
Practice Address - Street 1:39155 LIBERTY ST
Practice Address - Street 2:STE. G710
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1513
Practice Address - Country:US
Practice Address - Phone:510-795-2434
Practice Address - Fax:510-793-3972
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW15470104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker