Individual
FREDERIC H CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 W CENTRAL AVE, SUITE 101, BREA, CA 92821-3013
(714) 671-3033
(714) 671-1231
Mailing address
400 W CENTRAL AVE, SUITE 101, BREA, CA 92821-3013
(714) 671-3033
(714) 671-1231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G41325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK827Z
MEDICARE PTAN
CA
01
—
G41325
MEDICAL LICENSE
CA
Enumeration date
10/16/2006
Last updated
03/07/2023
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