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Contact Information

MICHAEL I CORNFIELD, DPM
410 W CENTRAL AVE
#204
BREA, CA92821
 Phone: 714-990-4422
 Fax: 714-990-2855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL I CORNFIELD · (Male)

NPI # 1194745471
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/20/2006
Last updated 04/01/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E2059
  • CA Medicaid 00E2059
  • CA Other 1194745471 INDIVIDUAL NPI
  • CA Other 1609107366 NPI TYPE 2
  • CA Other CV970Z PTAN
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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