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Individual

ALEXANDER KORCHMAREV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13245 RIVERSIDE DR, STE 507, SHERMAN OAKS, CA 91423-5625
(818) 788-7580
(818) 788-7540
Mailing address
4227 SEPULVEDA BLVD, SHERMAN OAKS, CA 91403
(818) 501-8978
(818) 906-8804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A66569
CA
2084P0800X
Psychiatry Physician
Primary
A66569
CA

Other

Enumeration date
07/05/2006
Last updated
06/06/2017
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