Harley Ian Kornblum in Los Angeles - Neurodevelopmental Disabilities
Harley Ian Kornblum - NPI 1386651115
Harley Ian Kornblum is a Neurodevelopmental Disabilities in Los Angeles, California. Harley Ian Kornblum practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Harley Ian Kornblum is 1386651115. The last update date is 2012-06-20.
Harley Ian Kornblum's current location address is 10833 Le Conte Ave, Los Angeles, California. You can contact this provider via phone number 3102063952 and fax number 3102060209. The mailing address for Harley Ian Kornblum is 10833 Le Conte Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harley Ian Kornblum |
|---|---|
| Address | 10833 Le Conte Ave, Los Angeles, California |
| Phone Number | 3102063952 |
| Fax Number | 3102060209 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386651115 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
| Address | 10833 Le Conte Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900953075 |
| Phone Number | 3102063952 |
| Fax Number | 3102060209 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | G70261 |
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Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G702610 | CA | -- | |
| GR0053510 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Harley Ian Kornblum by the Centers for Medicare & Medicaid Services (CMS)?
The Harley Ian Kornblum has been assigned the NPI (National Provider Identifier) 1386651115. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Harley Ian Kornblum is geographically located?
The Harley Ian Kornblum is physically situated at the following location: 10833 Le Conte Ave, Los Angeles, CA, 900953075.
What is the area of specialization for Harley Ian Kornblum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Harley Ian Kornblum is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0008X.
On what date did the Harley Ian Kornblum receive its 1386651115 assignment from the Centers for Medicare & Medicaid Services?
The Harley Ian Kornblum was assigned its 1386651115 by the Centers for Medicare & Medicaid Services on 2006-08-02.
As of what date were the details related to Harley Ian Kornblum most recently updated or revised?
The information pertaining to Harley Ian Kornblum, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-20.