Individual
JEREMY E KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4644 LINCOLN BLVD, STE 450, MARINA DEL REY, CA 90292-6313
(800) 491-1977
(310) 577-5616
Mailing address
4644 LINCOLN BLVD, STE 450, MARINA DEL REY, CA 90292-6313
(310) 577-5540
(310) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G83221
CA
Other
Enumeration date
07/28/2006
Last updated
09/20/2010
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