NPI 1053054213
Corktree Holdings, LLC
Practice location
- Address
- 1000 Halyard, Newport Beach, CA 92663-2739
- Phone
- (949) 220-9700
- Mailing address
- 140 N Union Ave STE 320, Farmington, UT 84025-2956
Authorised official
- Name
- John Mitchell
- Title
- Secretary
- Phone
- (385) 988-3319
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1053054213
- Entity type
- Organization
- NPI issued
- 15 Apr 2022
- Record last updated
- 19 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.