Individual
DR. MICHAEL I CORNFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
410 W CENTRAL AVE, #204, BREA, CA 92821
(714) 990-4422
(714) 990-2855
Mailing address
410 W CENTRAL AVE, #204, BREA, CA 92821
(714) 990-4422
(714) 990-2855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00E2059
—
CA
01
—
1194745471
INDIVIDUAL NPI
CA
01
—
1609107366
NPI TYPE 2
CA
01
—
CV970Z
PTAN
CA
Enumeration date
07/20/2006
Last updated
04/01/2010
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