Individual
CORY LYNNE BRAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 LONG BEACH BLVD STE 400, LONG BEACH, CA 90807-2008
(562) 591-7700
(562) 591-1311
Mailing address
360 SAN MIGUEL DR, STE 307, NEWPORT BEACH, CA 92660-7829
(949) 721-0800
(949) 721-9676
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A74973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A749730
BLUE SHIELD
CA
Enumeration date
06/20/2005
Last updated
02/27/2024
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