| Philip Korsun D O Inc | |
|
6740 Wilbur Ave Reseda CA 91335-5179 | |
| (818) 881-4261 | |
| (818) 812-1227 |
| Full Name | Philip Korsun D O Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6740 Wilbur Ave, Reseda, California |
| Authorized Official Name and Position | Philip F Korsun (PHYSICIAN) |
| Authorized Official Contact | 3236108965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Korsun D O Inc 4307 Freedom Dr Unit 3 Calabasas CA 91302-5129 Ph: (323) 610-8965 | Philip Korsun D O Inc 6740 Wilbur Ave Reseda CA 91335-5179 Ph: (818) 881-4261 |
| NPI Number | 1568293744 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 07/11/2025 |
| Medicare PECOS PAC ID | 2860932415 |
|---|---|
| Medicare Enrollment ID | O20240910001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568293744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip E Korsun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053872309 PECOS PAC ID: 8820478977 Enrollment ID: I20220706003843 |
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