# BEVERLEY KORNDER, M.D.,INC

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

## Provider details

- **NPI number:** 1588818058
- **Authorized official:** BEVERLEY GAIL KORNDER M.D. (OWNER)
- **Authorized official phone:** (805) 374-9905

## Contact information

- **Practice address:** 425 HAALAND DRIVE, SUITE 103, THOUSAND OAKS, CA 91361-5230
- **Practice address phone:** (805) 374-9905
- **Practice address fax:** (805) 379-0763
- **Mailing address:** 425 HAALAND DRIVE, SUITE 103, THOUSAND OAKS, CA 91361-5230
- **Mailing address phone:** (805) 374-9905
- **Mailing address fax:** (805) 379-0763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A48072 | CA | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 11/11/2008