Individual
DR. ALEXANDER KORETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 843-5111
(818) 847-3935
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A55014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A550140
BLUE SHIELD
CA
05
—
00A550140
—
CA
Enumeration date
07/26/2006
Last updated
08/06/2014
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