Organization Active NPI

William L. Corbin, M.D., Inc.

Doing business as Larchmont Village Eye Medical Group

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1932298395
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G19313 Issued in CA
Legal business name
WILLIAM L. CORBIN, M.D., INC.
Doing business as
Larchmont Village Eye Medical Group
Practice address
321 N Larchmont Blvd
Suite 700
Los Angeles, CA 90004-6407
Phone
(323) 467-7161
Fax
(323) 467-3922
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
William L Corbin, MD
Title
Owner
Phone
(323) 467-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G19313 CA Primary

Addresses

Primary practice location

321 N Larchmont Blvd
Suite 700
Los Angeles, CA 90004-6407

Mailing address

321 N Larchmont Blvd
Suite 700
Los Angeles, CA 90004-6407
Phone (323) 467-7161

Other identifiers 1

IdentifierTypeStateIssuer
00G193131MedicaidCA

Other names 1

  • Larchmont Village Eye Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1932298395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD",
            "address_2": "SUITE 700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046407",
            "telephone_number": "323-467-7161",
            "fax_number": "323-467-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD",
            "address_2": "SUITE 700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046407",
            "telephone_number": "323-467-7161",
            "fax_number": "323-467-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. CORBIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-467-7161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G19313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G193131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larchmont Village Eye Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.