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BEVERLEY KORNDER M.D.INC NPI 1588818058


NPI Information

NPI: 1588818058
Provider Name: BEVERLEY KORNDER, M.D.,INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
425 HAALAND DRIVE
SUITE 103
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 374-9905
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BEVERLEY KORNDER, M.D.,INC is a family medicine in Thousand Oaks, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEVERLEY KORNDER, M.D.,INC NPI is 1588818058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 HAALAND DRIVE
SUITE 103
THOUSAND OAKS, CA
ZIP 91361-230
Phone: (805) 374-9905
Fax: (805) 379-0763

The provider's authorized official is Beverley Gail Kornder .
The authorized official title is Owner and has the following contact phone number (805) 374-9905.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 11/11/2008.


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
1207Q00000XFamily MedicineA48072CALIFORNIAYes

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
1A48072MEDICARE PINCALIFORNIA
2E73381MEDICARE UPINCALIFORNIA

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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