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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G19313
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G193131 | Medicaid | CA |
Other names 1
- Larchmont Village Eye Medical Group
National Provider Directory
National Provider DirectoryNPI 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"
}
]
}
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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.