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Jeremy E. Korman Md, A Professional Corporation
Non-Pharmacy Dispensing Site in Marina Del Rey, California
NPI 1255609004

Jeremy E. Korman Md, A Professional Corporation is a Non-Pharmacy Dispensing Site based in Los Angeles, CA. Jeremy E. Korman Md, A Professional Corporation practices in Marina Del Rey, CA. The NPI Number for Jeremy E. Korman Md, A Professional Corporation is 1255609004 and holds a License No. (California).

The current practice location address for Jeremy E. Korman Md, A Professional Corporation is 4644 Lincoln Blvd, Marina Del Rey, CA and can be reached out via phone at 310-577-5540.

Location: 4644 Lincoln Blvd, Marina Del Rey, CA, 90077-1726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255609004
Provider Name
Jeremy E. Korman Md, A Professional Corporation
Credential
Provider Entity Type
Organization
Address
4644 Lincoln Blvd, Marina Del Rey, CA, 90077-1726
Phone Number
310-577-5540
Fax Number
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4644 Lincoln Blvd
City
Marina Del Rey
State
California
Zip
90292-6313
Phone Number
310-577-5540
Fax Number
person
Provider Business Mailing Address Details
Address
4644 Lincoln Blvd
City
Marina Del Rey
State
California
Zip
90292-6313
Phone Number
310-577-5540
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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