Individual
MARCIA CORNFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D
Contact information
Practice address
21840 NORMANDIE AVE, TORRANCE, CA 90502-2047
(310) 222-2643
(310) 222-5027
Mailing address
21840 NORMANDIE AVE, TORRANCE, CA 90502-2047
(310) 222-2643
(310) 222-5027
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
G56070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G560700
—
CA
Enumeration date
01/26/2006
Last updated
07/09/2007
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