Korsun, Philip Efraim

Korsun, Philip Efraim is an sole proprietor health care provider with primary practice located at 14850 Roscoe Blvd , Panorama City CA 91402-4677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Korsun, Philip Efraim can be contacted via phone (818) 787-2222.

Contact Information

Primary practice address
14850 Roscoe Blvd Panorama City CA 91402-4677
Phone: (818) 787-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A19382 California

Profile Details

NPI number 1053872309
LBN Legal business name Korsun, Philip Efraim
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2019
Last updated Sep 26th, 2024 - about 2 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 1053872309 NPPES
California MEDICAID D8812052

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