Provider Demographics
NPI:1023856341
Name:CORTEZ, YSABELLA L
Entity type:Individual
Prefix:
First Name:YSABELLA
Middle Name:L
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 SORENSON RD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-3055
Mailing Address - Country:US
Mailing Address - Phone:424-263-8794
Mailing Address - Fax:
Practice Address - Street 1:5065 DEER VALLEY RD STE 248
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-5200
Practice Address - Country:US
Practice Address - Phone:925-501-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician