Doctor Name: | DR. MICHAEL A CORBEN |
NPI Number: | 1043297666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 4954T |
Business Practice Address: | 23206 Lyons Ave Suite 102 Newhall, CA - 913212667 |
Business Phone Number: | 6612592168 |
Business Fax Number: | |
Mailing Address: | 23206 Lyons Ave, Suite 102 NEWHALL |
State: | CA |
Postal Code: | 913212667 |
Phone Number: | 6612592168 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 4954T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |