NPI 1255609004

Jeremy E. Korman MD, a Professional Corporation

Organisation Non-Pharmacy Dispensing Site Marina del Rey, CA

Practice location

Address: 4644 Lincoln Blvd Suite 450, Marina del Rey, CA 90292-6313
Phone: (310) 577-5540
Mailing address: 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726

Authorised official

Name: Jeremy Korman
Title: President
Phone: (310) 577-5540

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in California →

Registry record

NPI: 1255609004
Entity type: Organization
NPI issued: 8 Dec 2011
Record last updated: 8 Dec 2011

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.