| Beverley Kornder, M.d.,inc | |
|
425 Haaland Drive Suite 103 Thousand Oaks CA 91361-5230 | |
| (805) 374-9905 | |
| (805) 379-0763 |
| Full Name | Beverley Kornder, M.d.,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 425 Haaland Drive, Thousand Oaks, California |
| Authorized Official Name and Position | Beverley Gail Kornder (OWNER) |
| Authorized Official Contact | 8053749905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverley Kornder, M.d.,inc 425 Haaland Drive Suite 103 Thousand Oaks CA 91361-5230 Ph: (805) 374-9905 | Beverley Kornder, M.d.,inc 425 Haaland Drive Suite 103 Thousand Oaks CA 91361-5230 Ph: (805) 374-9905 |
| NPI Number | 1588818058 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588818058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A48072 (California) | Primary |
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