Provider Demographics
NPI:1962874107
Name:PAUL JASON KORC, MD, INC.
Entity type:Organization
Organization Name:PAUL JASON KORC, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:KORC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-764-5760
Mailing Address - Street 1:1 HOAG DR
Mailing Address - Street 2:CANCER CENTER BUILDING 41, 3RD FLOOR
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4162
Mailing Address - Country:US
Mailing Address - Phone:949-764-5760
Mailing Address - Fax:949-764-7165
Practice Address - Street 1:1 HOAG DR
Practice Address - Street 2:CANCER CENTER BUILDING 41, 3RD FLOOR
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4162
Practice Address - Country:US
Practice Address - Phone:949-764-5760
Practice Address - Fax:949-764-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105862261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty