Organization
BEVERLEY KORNDER, M.D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLEY GAIL KORNDER M.D. (OWNER)
(805) 374-9905
Entity
Organization
Contact information
Practice address
425 HAALAND DRIVE, SUITE 103, THOUSAND OAKS, CA 91361-5230
(805) 374-9905
(805) 379-0763
Mailing address
425 HAALAND DRIVE, SUITE 103, THOUSAND OAKS, CA 91361-5230
(805) 374-9905
(805) 379-0763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A48072
CA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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