Organization
CORBEN OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ADAM CORBEN O.D. (V.P.)
(661) 259-2168
Entity
Organization
Contact information
Practice address
23206 LYONS AVE STE 102, NEWHALL, CA 91321-2671
(661) 259-2168
(661) 259-3568
Mailing address
23206 LYONS AVE STE 102, NEWHALL, CA 91321-2671
(661) 259-2168
(661) 259-3568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4954T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043297666
NPI INDIVIDUAL
CA
01
—
1912011560
NPI
CA
Enumeration date
03/16/2007
Last updated
07/22/2020
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