Jeremy E. Korman Md, a Professional Corporation
NPI #1255609004 in Marina Del Rey, California
Provider Information
- NPI Number
- 1255609004
- Entity Type
- Organization
- Organization Name
- Jeremy E. Korman Md, a Professional Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 8, 2011
- Last Updated
- Dec 8, 2011
Practice Location
- Address
- 4644 LINCOLN BLVD
- Address 2
- SUITE 450
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6313
- Phone
- (310) 577-5540
Authorized Official
- Name
- DR. JEREMY KORMAN, M.D.
- Title
- PRESIDENT
- Phone
- (310) 577-5540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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