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General NPI Number Information
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NPI Number | 1912418674
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Entity Type | Organization
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Legal Business Name | ROGER KORNU MD PC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2552 WALNUT AVE STE 200
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City | TUSTIN
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State | CA
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Zip | 92780-6983
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Country | US
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Telephone | 714-406-4461
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Fax | 714-669-9790
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Provider Business Mailing Address
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Address Line | 2552 WALNUT AVE STE 200
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City | TUSTIN
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State | CA
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Zip | 92780-6983
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Country | US
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Telephone | 714-406-4461
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Fax | 714-669-9790
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Authorized Official
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Title or Position | OWNER
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Name | ROGER KORNU
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Credential |
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Telephone | 714-406-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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