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Contact Information

WALLACE M KORBIN MD A MEDICAL CORP
15243 VANOWEN ST
SUITE #209
VAN NUYS, CA91405
 Phone: 818-988-0170
 Fax: 818-367-0767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WALLACE M KORBIN MD A MEDICAL CORP · (Female)

NPI # 1376747394
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2007
Last updated 10/30/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # C18692
  • CA Other C18692A STATE OF CALIFORNIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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