# JONATHAN CORREN MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386073377
- **Authorized official:** JONATHAN CORREN MD (PRESIDENT)
- **Authorized official phone:** (310) 312-5050

## Contact information

- **Practice address:** 10780 SANTA MONICA BLVD, SUITE \#280, LOS ANGELES, CA 90025-4749
- **Practice address phone:** (310) 312-5050
- **Practice address fax:** (310) 575-9292
- **Mailing address:** 10780 SANTA MONICA BLVD, SUITE \#280, LOS ANGELES, CA 90025-4749
- **Mailing address phone:** (310) 312-5050
- **Mailing address fax:** (310) 575-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | G53016 | CA | Yes |

## Other

- **Enumeration date:** 11/11/2013
- **Last updated:** 11/11/2013