(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003557984
Provider Name: COREY MORDAS
Entity Type: Individual
Taxonomy Code: 390200000X
Specialty: Student in an Organized Health Care Education/Training Program
License Number:
Most Important Dates
Enumeration Date: 04/05/2022
Last Updated: 05/23/2024
Provider Practice Location
8700 BEVERLY BLVD
WEST HOLLYWOOD
CA
900481804
Practice Location Phone/Fax
Phone: 7742791286
Fax:
Provider Mailing Location
700 N SAN VICENTE BLVD STE G530
WEST HOLLYWOOD
CA
900695060
Provider Mailing Phone/Fax
Phone: 7742791286
Fax: