Organization
FREDERIC H. CORBIN, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC H CORBIN M.D. (PRESIDENT)
(714) 671-3033
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK746A
MEDICARE PTAN
CA
Enumeration date
03/28/2007
Last updated
08/23/2012
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