Corteza, Herman Mata
Corteza, Herman Mata is an sole proprietor health care provider with primary practice located at 625 Fair Oaks Ave , South Pasadena CA 91030-2630. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Corteza, Herman Mata can be contacted via phone (626) 802-0081.Contact Information
Primary practice address
625 Fair Oaks Ave
South Pasadena CA 91030-2630
Phone: (626) 802-0081
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 36663 | California |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 36663 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 85783 | California |
Profile Details
NPI number | 1821112947 |
---|---|
LBN Legal business name | Corteza, Herman Mata |
Credentials | MS, MSW, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 16th, 2007 |
Last updated | Nov 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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