Peter L. Korchin, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CO001475

Practice address

2933 Long Beach Blvd
Long Beach, CA 90806-1517

Phone

(562) 988-2414

Fax

(562) 490-2831

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1528792959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18817 TOMAHAWK ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086236",
            "telephone_number": "714-747-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061517",
            "telephone_number": "562-988-2414",
            "fax_number": "562-490-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORCHIN",
        "first_name": "PETER",
        "middle_name": "L.",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CO001475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lyn Koontz
• Ghazal Kooshk Jalali, MD
• Marcin Kopec, MD
• Rishi Ram Kora
• Rekhashree Koratagere Shivananda
• Terrell Kornegay
• Kosal Kom, DDS, Inc
• Faith Koscal, AMFT
• Kathleen Ann Kosche, LCSW
• Perry R Koseff, DO

• Orthotist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.