Corren, Jonathan

Corren, Jonathan is an individual health care provider with primary practice located at 10780 Santa Monica Blvd Suite 280, Los Angeles CA 90025-4749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as his primary health care specialty. Corren, Jonathan can be contacted via phone (310) 312-5050.

Contact Information

Primary practice address
10780 Santa Monica Blvd Suite 280 Los Angeles CA 90025-4749
Phone: (310) 312-5050
Fax: (310) 575-9292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X G53016 California

Profile Details

NPI number 1447360086
LBN Legal business name Corren, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447360086 NPPES
California Other G53016 LICENSE
California Other ZZZ73295Z LICENSE

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