Provider Demographics
NPI:1053760983
Name:YONLANDA E CORTEZ DDS INC
Entity type:Organization
Organization Name:YONLANDA E CORTEZ DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:888-800-4202
Mailing Address - Street 1:4065 WHITTIER BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90023-2557
Mailing Address - Country:US
Mailing Address - Phone:888-800-4202
Mailing Address - Fax:
Practice Address - Street 1:4065 WHITTIER BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-2557
Practice Address - Country:US
Practice Address - Phone:888-800-4202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56546OtherDENTIST