Kormeili, Tanya
Kormeili, Tanya is an sole proprietor health care provider with primary practice located at 2811 Wilshire Blvd Ste 640 , Santa Monica CA 90403-4823. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Kormeili, Tanya can be contacted via phone (310) 526-8301.Contact Information
Primary practice address
2811 Wilshire Blvd Ste 640
Santa Monica CA 90403-4823
Phone: (310) 526-8301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A83838 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | A83828 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | A83828 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | A83828 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A83828 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A83828 | California |
Profile Details
| NPI number | 1245450766 |
|---|---|
| LBN Legal business name | Kormeili, Tanya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Aug 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245450766 | NPPES |
| Other | WA83828A | MEDICARE PIN |
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