Provider Demographics
NPI:1972201176
Name:KAMRAR, CORINNE JOY (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:JOY
Last Name:KAMRAR
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:7290 EDINGER AVE UNIT 4104
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-0954
Mailing Address - Country:US
Mailing Address - Phone:310-504-4012
Mailing Address - Fax:
Practice Address - Street 1:2515 MCCABE WAY STE 350
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-9403
Practice Address - Country:US
Practice Address - Phone:949-753-1663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant