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
Fax: (949) 625-5289
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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