| Errol Korn Medical Corporation | |
|
769 Medical Center Ct # 303 Chula Vista CA 91911-6602 | |
| (619) 425-5544 | |
| (619) 421-3838 |
| Full Name | Errol Korn Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 769 Medical Center Ct # 303, Chula Vista, California |
| Authorized Official Name and Position | Laura Mata (OFFICE MANAGER) |
| Authorized Official Contact | 6194255544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Errol Korn Medical Corporation 1044 Pacific Hill St Chula Vista CA 91911-6831 Ph: (619) 425-5544 | Errol Korn Medical Corporation 769 Medical Center Ct # 303 Chula Vista CA 91911-6602 Ph: (619) 425-5544 |
| NPI Number | 1891971404 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/12/2023 |
| Medicare PECOS PAC ID | 3274791256 |
|---|---|
| Medicare Enrollment ID | O20120222000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891971404 | NPI | - | NPPES |
| 00G154810 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G154810 (California) | Primary |
| Provider Name | Errol R Korn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922041052 PECOS PAC ID: 7214944412 Enrollment ID: I20081209000553 |
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