Theodore R. Corwin, M.D., P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G29196 Issued in CA

Legal business name

THEODORE R. CORWIN, M.D., P.C.

Practice address

911 Hampshire Rd Ste 1
Westlake Village, CA 91361-2833

Phone

(805) 494-3656

Fax

(805) 778-9104

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Theodore R Corwin, M.D.

Title

President

Phone

(805) 494-3656

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1982774311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD STE 1",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612833",
            "telephone_number": "805-494-3656",
            "fax_number": "805-778-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD STE 1",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612833",
            "telephone_number": "805-494-3656",
            "fax_number": "805-778-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE R. CORWIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-494-3656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G29196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "G29196",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G291960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Girls Empowerment Center
• The Girls' Empowerment Center
• The Oaks Psychological Group
• The Westlake Ophthalmology ASC, LLC
• The Wilgus & Hunter Business Partnership
• Therapy Clubhouse, a Professional Corporation
• Thermal Imaging of Socal, LLC
• Sherry Thomas, MD MPH
• Chelsea Faye Thompson, MA, LMFT
• Thousand Oaks Hospice Care

• Plastic and Reconstructive Surgery Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.