Most Relevant Information
Provider Data
| NPI Number: | 1003525809 |
| Provider Name: | MARIE ANTONI CORTES DEL MAR |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2022 |
| Last Updated: | 11/27/2022 |
Provider Practice Location
1700 SANTA FE AVE # 832
LONG BEACH
CA
908131200
Practice Location Phone/Fax
| Phone: | 5625447508 |
| Fax: |
Provider Mailing Location
15409 GARD AVE
NORWALK
CA
906506341
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |