JUSTINE KOROLYOV M.D. – NPI #1124461736
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

JUSTINE KOROLYOV is a physician located in LOS ANGELES, CA. NPPES has assigned the NPI number 1124461736 to JUSTINE KOROLYOV on April 12, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JUSTINE MUMMA. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Feb 25, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTINE KOROLYOV below.

NPI Profile for
JUSTINE KOROLYOV

NPI Number
1124461736
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JUSTINE KOROLYOV
Former Name: JUSTINE MUMMA
Credentials
M.D.
Primary location
11303 W WASHINGTON BLVD STE 100
LOS ANGELES, CA 90066
Phone: (310) 391-7281 Fax:
Mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 CA A145819

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE - Graduated 2015
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JUSTINE KOROLYOV is affiliated with the following medical group(s):
  • HOSPITAL
    • RONALD REAGAN UCLA MEDICAL CENTER
      757 WESTWOOD PLAZA
      LOS ANGELES, CA 90095
    • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
      1250 16TH STREET
      SANTA MONICA, CA 90404
  • HOME HEALTH AGENCY
    • SUN-TRIUNE HEALTHCARE, INC
      3055 WILSHIRE BLVD SUITE 890
      LOS ANGELES, CA 90010

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