Corey James Buckley
Physician Assistant · Fullerton, CA
Practice location
2575 Yorba Linda BlvdFullerton, CA 92831-1615
- Phone
- (760) 399-6894
NPI record
- NPI
- 1407534555
- Entity type
- Individual (Type 1)
- Enumeration date
- July 10, 2023
- Last updated
- January 2, 2025
- Certified
- January 2, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
1226193 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
706 1/2 Knoxville AveHuntington Beach, CA 92648-4114
- Phone
- (760) 822-9844
About Corey Buckley
Corey James Buckley is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615. The NPI number 1407534555 was assigned on July 10, 2023 and the record was last updated on January 2, 2025.
Corey Buckley lists a license in the registry: #1226193 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Corey James Buckley?
The NPI number is 1407534555.
What is the phone number of Corey Buckley?
The phone number listed for the practice location is (760) 399-6894.
Where is Corey Buckley located?
2575 Yorba Linda Blvd, Fullerton, CA 92831-1615.
What is the taxonomy code for Corey Buckley?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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