Provider Demographics
NPI:1790073682
Name:CORTEZ, NATALIA M (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NATALIA
Middle Name:M
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:13939 E 14TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2601
Mailing Address - Country:US
Mailing Address - Phone:510-343-8300
Mailing Address - Fax:510-343-8301
Practice Address - Street 1:13939 E 14TH ST STE 150
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578
Practice Address - Country:US
Practice Address - Phone:510-343-8300
Practice Address - Fax:510-343-8301
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2019-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA21624363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant