Organization
CORDAY MEDICAL GROUP
Active
Parent organization
CORDAY AND CORDAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORDAY AND CORDAY
Authorized official
DR. STEPHEN R CORDAY M.D. (DOCTOR)
(310) 855-8081
Entity
Organization
Contact information
Practice address
8635 W 3RD ST STE 485W, LOS ANGELES, CA 90048-6156
(310) 855-8081
Mailing address
8635 W 3RD ST STE 485W, LOS ANGELES, CA 90048-6156
(310) 855-8081
(310) 855-0438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G31116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010034153
RAILROAD MEDICARE
—
01
—
ZZZ53071Y
BLUE SHIELD OF CALIFORNIA
CA
05
—
ZZZ82542Z
—
CA
Enumeration date
02/19/2008
Last updated
06/28/2024
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