JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
NPI 1255609004
Non-Pharmacy Dispensing Site in Marina Del Rey, CA

Active since December 08, 2011
4644 LINCOLN BLVD, SUITE 450, MARINA DEL REY, CA 90292(310) 577-5540 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy E. Korman Md, A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION (NPI 1255609004) is a healthcare organization registered as a non-pharmacy dispensing site in Marina Del Rey, California and active in the NPI registry since December 2011. The organization lists Jeremy Korman, President, as its authorized official.

NPPES Registry Identity

NPI1255609004
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
Location Address4644 LINCOLN BLVD, SUITE 450Marina Del Rey, CA 90292-6313
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Organization SubpartYes
Authorized OfficialJeremy KormanPresident · (310) 577-5540
Enumeration DateDecember 8, 2011
NPI 1255609004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4644 LINCOLN BLVD, Marina Del Rey, CA 90292

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4644 LINCOLN BLVD, STE #430
MARINA DEL REY, CA 90292
Ophthalmology
4644 LINCOLN BLVD, SUITE 430
MARINA DEL REY, CA 90292
Internal Medicine
4644 LINCOLN BLVD, 113
MARINA DEL REY, CA 90292
Anesthesiology (Pain Medicine)
4644 LINCOLN BLVD, 424
MARINA DEL REY, CA 90292
Family Medicine
4644 LINCOLN BLVD, SUITE 428
MARINA DEL REY, CA 90292
Specialist
4644 LINCOLN BLVD, SUITE # 409
MARINA DEL REY, CA 90292
Orthopaedic Surgery
4644 LINCOLN BLVD, SUITE 101
MARINA DEL REY, CA 90292
Internal Medicine
4644 LINCOLN BLVD, #111
MARINA DEL REY, CA 90292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy E. Korman MD, A Professional Corporation's NPI number?

The NPI number for Jeremy E. Korman MD, A Professional Corporation is 1255609004. It was assigned to this organization in the NPPES registry on December 8, 2011.

Where is Jeremy E. Korman MD, A Professional Corporation located?

Jeremy E. Korman MD, A Professional Corporation is located at 4644 Lincoln Blvd Suite 450, Marina Del Rey, CA 90292. The listed phone number is (310) 577-5540.

What is Jeremy E. Korman MD, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Jeremy E. Korman MD, A Professional Corporation was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.