Individual
DR. JASON PHILIP AARON HIRO CORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD CM
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
1415 PINE AVENUE WEST, APT 303, MONTREAL, QUEBEC H3G 1-B2
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
175981
CA
207XX0801X
Orthopaedic Trauma Physician
175981
CA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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