Organization
COR MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KENNETH URMAN MD (VP)
(310) 659-0714
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, SUITE 890W, LOS ANGELES, CA 90048-6101
(310) 659-0714
(310) 659-0664
Mailing address
8635 W 3RD ST, SUITE 890W, LOS ANGELES, CA 90048-6101
(310) 659-0714
(310) 659-0664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G066869
CA
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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