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Organization
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
Active
Organization
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
Active
Parent organization
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
Authorized official
DR. JEREMY KORMAN M.D. (PRESIDENT)
(310) 577-5540
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, SUITE 450, MARINA DEL REY, CA 90292-6313
(310) 577-5540
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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