Individual
THEODORE R CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 HAMPSHIRE RD, SUITE 1, WESTLAKE VILLAGE, CA 91361-2818
(805) 494-3656
(805) 778-9104
Mailing address
911 HAMPSHIRE RD, SUITE 1, WESTLAKE VILLAGE, CA 91361-2818
(805) 494-3656
(805) 778-9104
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G29196
CA
Other
Enumeration date
11/09/2006
Last updated
03/30/2009
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