Shirley Rachel Korula, M.D.

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

A39721 Issued in CA

Practice address

4339 State University Dr
Diagnostic Center of Southern California
Los Angeles, CA 90032-4220

Phone

(323) 222-8090

Fax

(323) 222-3018

NPI assigned

Dec 27, 2005

Reactivated

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568449122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 STATE UNIVERSITY DR",
            "address_2": "DIAGNOSTIC CENTER OF SOUTHERN CALIFORNIA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324220",
            "telephone_number": "323-222-8090",
            "fax_number": "323-222-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 STATE UNIVERSITY DR",
            "address_2": "DIAGNOSTIC CENTER OF SOUTHERN CALIFORNIA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324220",
            "telephone_number": "323-222-8090",
            "fax_number": "323-222-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORULA",
        "first_name": "SHIRLEY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "A39721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir A. Korouri, D.D.S.
• Fred Korr, PHARM.D.
• Deirdre Korst
• Pamela Korst, M.A.
• Jens J Kort
• Korus Medical Group
• Korus Medical Group of Lee Chiropractic Corporation
• Koryo Health Foundation
• Koryo Health Foundation
• Koryo Health Foundaton (Koryo Health Foundation)

• Clinical Genetics (M.D.) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Genetics (M.D.) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.