Provider Demographics
NPI:1669629929
Name:KOROTINSKY, ARKADY (MD)
Entity Type:Individual
Prefix:DR
First Name:ARKADY
Middle Name:
Last Name:KOROTINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 OUTLET CENTER DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0607
Mailing Address - Country:US
Mailing Address - Phone:805-604-6960
Mailing Address - Fax:
Practice Address - Street 1:2000 OUTLET CENTER DR
Practice Address - Street 2:SUITE 225
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0607
Practice Address - Country:US
Practice Address - Phone:805-604-6960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1301352084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine