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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

NPI # 1376747394
LBN Legal business name WALLACE M KORBIN MD A MEDICAL CORP
Authorized official WALLACE KORBIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 10/30/2007 - About 19 years ago
Identifiers
CA License # C18692
CA Other C18692A STATE OF CALIFORNIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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