Koretz, Alexander

Koretz, Alexander is an sole proprietor health care provider with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Koretz, Alexander can be contacted via phone (818) 843-5111.

Contact Information

Primary practice address
501 S Buena Vista St Burbank CA 91505-4809
Phone: (818) 843-5111
Fax: (818) 847-3935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A55014 California

Profile Details

NPI number 1306869573
LBN Legal business name Koretz, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Aug 6th, 2014 - about 11 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 1306869573 NPPES
California Other 00A550140 BLUE SHIELD
California MEDICAID 00A550140 BLUE SHIELD

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