Provider Demographics
NPI:1457735581
Name:CORTES, ORIZBETH (MSW)
Entity Type:Individual
Prefix:
First Name:ORIZBETH
Middle Name:
Last Name:CORTES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N TUSTIN AVE STE B
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3509
Mailing Address - Country:US
Mailing Address - Phone:714-247-4330
Mailing Address - Fax:714-492-8265
Practice Address - Street 1:1100 N TUSTIN AVE STE B
Practice Address - Street 2:SUITE D-1
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3509
Practice Address - Country:US
Practice Address - Phone:714-247-4330
Practice Address - Fax:714-492-8265
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA673641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA67364OtherBOARD OF BEHAVIORAL SCIENCES