Organization
JEREMY E KORMAN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA NAPORA (BILLING MANAGER)
(310) 325-4415
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, STE 450, MARINA DEL REY, CA 90292-6374
(310) 577-5540
(310) 577-5616
Mailing address
4644 LINCOLN BLVD, STE 450, MARINA DEL REY, CA 90292-6374
(310) 577-5540
(310) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G83221
CA
208600000X
Surgery Physician
—
CA
Other
Enumeration date
05/01/2007
Last updated
05/13/2020
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