Individual
DR. CHARLES J KORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 W CALIFORNIA BLVD, SUITE 513, PASADENA, CA 91105-3029
(626) 793-9987
Mailing address
1 W CALIFORNIA BLVD, SUITE 513, PASADENA, CA 91105-3043
(626) 793-9987
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 9449 TPA
CA
Other
Enumeration date
11/15/2005
Last updated
04/07/2014
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