Kristina Marie Cordasco, M.D., M.P.H.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A82283 Issued in CA

Practice address

911 Broxton Ave
3Rd Floor
Los Angeles, CA 90024-2801

Phone

(310) 794-2206

Fax

(310) 794-3288

NPI assigned

Jul 12, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790700854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BROXTON AVE",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242801",
            "telephone_number": "310-794-2206",
            "fax_number": "310-794-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BROXTON AVE",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242801",
            "telephone_number": "310-794-2206",
            "fax_number": "310-794-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDASCO",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidra Corbin, MSW
• Michelle Corby, B.S.
• Christine Chen Corcoran, NP-C
• Patricia Carolyn Corcoran, MD
• Tanya Corcoran, RRT,RCP
• Corday Medical Group
• Stephen Richard Corday, M.D.
• Sandra B Corddry, SP
• Mark Hendrik Corden, M.D.
• Amparo Elizabeth Cordero

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine 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.