Mr Herman Mata Corteza, MS, MSW, LCSW is a
Social Worker - Clinical based in South Pasadena, California. Mr Herman Mata Corteza is licensed to practice in California (license number 85783) and his current practice location is
625 Fair Oaks Ave, South Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 802-0081.
NPI number for Mr Herman Mata Corteza is 1821112947 and his current mailing address is 4771 Round Top Dr, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821112947.
Healthcare Provider's Profile
| Full Name | Mr Herman Mata Corteza |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 625 Fair Oaks Ave, South Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821112947
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 11/20/2023
Medical Identifiers
Medical identifiers for Mr Herman Mata Corteza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821112947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 36663 (California) | Secondary |
| 104100000X | Social Worker | 36663 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 85783 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Herman Mata Corteza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Herman Mata Corteza, MS, MSW, LCSW
4771 Round Top Dr,
Los Angeles, CA 90065-5237
Ph: (310) 308-5222 | Mr Herman Mata Corteza, MS, MSW, LCSW
625 Fair Oaks Ave,
South Pasadena, CA 91030-2630
Ph: (626) 802-0081 |
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