Jorgensen, Korey Stephen

Jorgensen, Korey Stephen is an individual health care provider with primary practice located at 362 3Rd St , Laguna Beach CA 92651-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jorgensen, Korey Stephen can be contacted via phone (949) 494-0761.

Contact Information

Primary practice address
362 3Rd St Laguna Beach CA 92651-2307
Phone: (949) 494-0761
Fax: (949) 494-3154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G22133 California

Profile Details

NPI number 1053349795
LBN Legal business name Jorgensen, Korey Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 10th, 2008 - about 17 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 1053349795 NPPES
California MEDICAID 00G22133A00
California MEDICAID 1225149222
California MEDICAID ZZT11948F

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