HARLEY IAN KORNBLUM M.D.
NPI 1386651115
Pediatrics - Neurodevelopmental Disabilities in Los Angeles, CA
About Harley Ian Kornblum M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARLEY IAN KORNBLUM M.D. (NPI 1386651115) is an individual neurodevelopmental disabilities provider in Los Angeles, California, licensed in California (G70261) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Harley Ian Kornblum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Harley Kornblum's NPI number?
The NPI number for Harley Kornblum is 1386651115. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Harley Kornblum located?
Harley Kornblum practices at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles, CA 90095. The listed phone number is (310) 206-3952.
What is Harley Kornblum's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.
Is Harley Kornblum enrolled in Medicare?
Yes. Harley Kornblum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Harley Kornblum was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Harley Ian Kornblum, M.D. · NPI 1386651115
Neurodevelopmental Disabilities physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1386651115 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Pediatrics - Neurodevelopmental Disabilities · taxonomy 2080P0008X
- **State license:** G70261 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, 12-441 MDCC, Los Angeles, CA 90095-3075
- **Phone:** (310) 206-3952 · **Fax:** (310) 206-0209
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** June 20, 2012
- **Other identifiers:** Medicare ID-Type Unspecified W11810 (CA); Medicaid 00G702610 (CA); Medicaid GR0053510 (CA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1386651115) · Data from the CMS NPPES public registry.