Individual
JOEL MICHAEL CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3085 LOMA VISTA RD, VENTURA, CA 93003-2916
(805) 648-3085
(805) 648-7027
Mailing address
3085 LOMA VISTA RD, VENTURA, CA 93003-2916
(805) 648-3085
(805) 648-7027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G49477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G494770
—
CA
01
—
180001515
RAIROAD MEDICARE
CA
01
—
205153800
US DEPT. OF LABOR
CA
01
—
G494770
CHAMPUS
CA
01
—
W494770
BLUE SHIELD
CA
01
—
WG49477B
DMERC
CA
Enumeration date
06/16/2006
Last updated
12/16/2020
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