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NPI Code Detail

MEDICARE: CORINNE APRIL IOLANDA CONN MD

MEDICARE: CORINNE APRIL IOLANDA CONN MD
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
12084P0800XPsychiatry PhysicianA201372CA

General Provider Information

NPI Number : 1588350540
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE APRIL IOLANDA CONN MD
Provider Business Mailing Address
First Line : 150 MEDICAL PLAZA
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-0001
Country : US
Telephone Number : 424-467-6885
Fax Number :
Provider Business Practice Location Address
First Line : 1749 14TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-4342
Country : US
Telephone Number : 703-395-9651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 02/08/2026

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Directions to “ CORINNE APRIL IOLANDA CONN MD” Practice Location

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