Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A64699 | CA |
Y | 111NI0900X | Internist | A64699 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A64699 | CA |
NPI | 1093881443 |
---|---|
Provider Name | Dr. Timothy J Corbin |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 23/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A646990 | (05) | CA |
G95834 | (02) | CA |