Provider Demographics
NPI:1689070534
Name:CORTEZ, ALBERT L (CMT)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:L
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1996 UNION ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4230
Mailing Address - Country:US
Mailing Address - Phone:415-441-5659
Mailing Address - Fax:415-929-2953
Practice Address - Street 1:1996 UNION ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4230
Practice Address - Country:US
Practice Address - Phone:415-441-5659
Practice Address - Fax:415-929-2953
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40180225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist