Provider Demographics
NPI:1275627200
Name:CORBIN, DAVID ALGIE (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALGIE
Last Name:CORBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1601 PRECISION PARK LANE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92173-1345
Mailing Address - Country:US
Mailing Address - Phone:619-662-4100
Mailing Address - Fax:
Practice Address - Street 1:SAN YSIDRO HEALTH SANTEE FAMILY MEDICINE
Practice Address - Street 2:120 TOWN CENTER PARKWAY
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-5801
Practice Address - Country:US
Practice Address - Phone:619-662-4100
Practice Address - Fax:619-824-9073
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH12097207R00000X
CAC169916207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204538Medicaid
NHRE7825Medicare PIN