Individual
DR. JOHN CORZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 MINOR HALL, UNIVERSITY OF CALIFORNIA, BERKELEY, CA 94720-2020
(510) 643-2793
(510) 643-5109
Mailing address
200 MINOR HALL, UNIVERSITY OF CALIFORNIA, BERKELEY, CA 94720-2020
(510) 643-2793
(510) 643-5109
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT 9875 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0098750
—
CA
Enumeration date
02/02/2007
Last updated
07/08/2007
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