Organization
JONATHAN CORREN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CORREN MD (PRESIDENT)
(310) 312-5050
Entity
Organization
Contact information
Practice address
10780 SANTA MONICA BLVD, SUITE #280, LOS ANGELES, CA 90025-4749
(310) 312-5050
(310) 575-9292
Mailing address
10780 SANTA MONICA BLVD, SUITE #280, LOS ANGELES, CA 90025-4749
(310) 312-5050
(310) 575-9292
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
G53016
CA
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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