Tuominen, Kory Lee
Tuominen, Kory Lee is an individual health care provider with primary practice located at 26671 Aliso Creek Rd Suite 304, Aliso Viejo CA 92656-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tuominen, Kory Lee can be contacted via phone (949) 556-3304.Contact Information
Primary practice address
26671 Aliso Creek Rd Suite 304
Aliso Viejo CA 92656-4809
Phone: (949) 556-3304
Fax: (949) 625-5289
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41754 | Minnesota |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A103333 | California |
Profile Details
NPI number | 1215913876 |
---|---|
LBN Legal business name | Tuominen, Kory Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2005 |
Last updated | Sep 22nd, 2015 - about 10 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 | 1215913876 | NPPES |
Other | 47D39TU | BCBS | |
Other | 151339 | BCBS | |
Other | MH9101025601 | BCBS | |
Other | 080173452 | BCBS | |
Other | 0113155 | BCBS | |
MEDICAID | 279521300 | BCBS |
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