Dr. Rea Corley, DDS
Dentist in La Jolla, CA. Individual provider (NPI-1).
NPI number1760675532
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1760675532
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rea Corley
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2007
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 56067 | CA | Yes |
Practice location
7433 Herschel AveSuite 1
La Jolla, CA 92037-5175
Phone 858-459-1600
Mailing address
7433 Herschel Ave Ste 1La Jolla, CA 92037-5175
Phone 858-459-1600
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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