Individual
DR. DAVID KOROSHEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(213) 353-1140
(213) 607-1434
Mailing address
1766 LAS LUNAS ST, PASADENA, CA 91106-1305
(213) 353-1140
(213) 607-1434
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G49623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G496230
—
CA
Enumeration date
10/05/2006
Last updated
03/18/2013
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