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WALLACE M KORBIN MD A MEDICAL CORP NPI 1376747394


NPI Information

NPI: 1376747394
Provider Name: WALLACE M KORBIN MD A MEDICAL CORP
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
15243 VANOWEN ST
SUITE #209
VAN NUYS, CA
ZIP 91405
Phone: (818) 988-0170
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WALLACE M KORBIN MD A MEDICAL CORP is a neurological surgery in Van Nuys, CA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. WALLACE M KORBIN MD A MEDICAL CORP NPI is 1376747394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15243 VANOWEN ST
SUITE #209
VAN NUYS, CA
ZIP 91405
Phone: (818) 988-0170
Fax: (818) 367-0767

The provider's authorized official is Wallace M Korbin .
The authorized official title is President and has the following contact phone number (818) 988-0170.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 10/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryC18692CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C18692AOTHERCALIFORNIASTATE OF CALIFORNIA
2C18692AMEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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