Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609920248 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace M Korbin , MD

Neurological Surgery • Van Nuys, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wallace Korbin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date October 24, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Korbin, MD was a registered Neurological Surgery practicing in Van Nuys, CA. Throughout an active medical career spanning 11 years, Dr. Korbin provided care at the practice location at 15243 VANOWEN ST until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

15243 Vanowen St
Suite #209

Van Nuys, CA 91405

Telephone 8189880170
Fax 8183670767
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Van Nuys, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Van Nuys, CA (999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License CA C18692

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
NPI 1003917287

Doctor of Medicine (M.D.)

NPI 1013001379

Doctor of Medicine (M.D.)

NPI 1023119294

Doctor of Medicine (M.D.)

Dr. Timothy Mess , MD

Internal Medicine - Infectious Disease

NPI 1043280076

Doctor of Medicine (M.D.)

Dr. Mee Kim , MD

Obstetrics & Gynecology

NPI 1144371436

Doctor of Medicine (M.D.)

Silvia Jourdan , FNP

Nurse Practitioner - Family

NPI 1184458093

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 24, 2018

Record deactivated on October 24, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 15243 VANOWEN ST, SUITE #209, VAN NUYS, CA 91405 (Tel: 8189880170)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 492267, LOS ANGELES, CA 90049 (Tel: 8189880170)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE KORBIN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Neurological Surgery (License #C18692 in CA)

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Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609920248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: October 24, 2018

Mailing Address

Po Box 492267

Los Angeles, CA 90049

Phone: 8189880170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.