MEDICARE: DR. KOREY STEPHEN JORGENSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G22133	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053349795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOREY STEPHEN JORGENSEN M.D.

Provider Business Mailing Address
First Line	:	362 3RD ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2307
Country	:	US
Telephone Number	:	949-494-0761
Fax Number	:	949-494-3154

Provider Business Practice Location Address
First Line	:	362 3RD ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2307
Country	:	US
Telephone Number	:	949-494-0761
Fax Number	:	949-494-3154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	10/10/2008

Similar Medicare Providers

1598625493 — ALAINA RAE COLLAZO DDS
Practice Location Address:

362 3RD ST STE 2
LAGUNA BEACH, CA
92651-2307

Practice Phone: 949-309-7986
Practice Fax:

1225149222 — LAGUNA BEACH COMMUNITY CLINIC, INC.
Practice Location Address:

362 3RD ST
LAGUNA BEACH, CA
92651-2307

Practice Phone: 949-494-0761
Practice Fax: 949-494-3154

1477613339 — CHAU MINH NGO M.D.
Practice Location Address:

362 3RD ST
LAGUNA BEACH, CA
92651-2307

Practice Phone: 949-494-0761
Practice Fax: 949-497-9922

1093876583 — DR. THOMAS C BENT MD
Practice Location Address:

362 3RD ST
LAGUNA BEACH, CA
92651-2307

Practice Phone: 949-494-0761
Practice Fax: 949-494-3154

1578680237 — MRS. FRANCINE GIRARD FNP
Practice Location Address:

362 3RD ST
LAGUNA BEACH, CA
92651-2307

Practice Phone: 949-464-0761
Practice Fax:

1679796064 — CARLOS FERNANDO GARCIA D.D.S.
Practice Location Address:

362 3RD ST , SUITE # 2
LAGUNA BEACH, CA
92651-2307

Practice Phone: 949-494-2111
Practice Fax: 949-494-2125

Directions to “ DR. KOREY STEPHEN JORGENSEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.