Koretoff, Jonathan Allen

Koretoff, Jonathan Allen is an individual health care provider with primary practice located at 18411 Clark St Ste 302 , Tarzana CA 91356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Koretoff, Jonathan Allen can be contacted via phone (818) 501-7276.

Contact Information

Primary practice address
18411 Clark St Ste 302 Tarzana CA 91356
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A157665 California

Profile Details

NPI number 1346668779
LBN Legal business name Koretoff, Jonathan Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Aug 22nd, 2018 - about 6 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.

Request for update

Popular Providers