Individual
CORAZON T CO THEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 S GARFIELD AVE, ALHAMBRA, CA 91801-4709
(626) 281-3383
(626) 281-5303
Mailing address
719 N SPARKS ST, BURBANK, CA 91506-1637
(818) 471-9086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C52506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007600267
—
VA
Enumeration date
11/03/2006
Last updated
05/08/2013
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