Provider Demographics
NPI:1437252087
Name:CORR, JUDY LOUISE (DO)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:LOUISE
Last Name:CORR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:LOUISE
Other - Last Name:BINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:62 CORPORATE PARK
Mailing Address - Street 2:STE 120
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-3122
Mailing Address - Country:US
Mailing Address - Phone:949-748-8866
Mailing Address - Fax:949-748-8868
Practice Address - Street 1:62 CORPORATE PARK
Practice Address - Street 2:STE 120
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3122
Practice Address - Country:US
Practice Address - Phone:949-748-8866
Practice Address - Fax:949-748-8868
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine