Individual
ANDREA VIRGINIA CORPORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39000 BOB HOPE DR, K - 108, RANCHO MIRAGE, CA 92270-3221
(760) 568-4330
(760) 568-6740
Mailing address
39000 BOB HOPE DR, K-108, RANCHO MIRAGE, CA 92270-3221
(760) 568-4330
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
016099
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
PA52398
CA
Other
Enumeration date
11/01/2012
Last updated
02/24/2016
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