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
Phone: (818) 501-7276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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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