Harley Ian Kornblum, MD in Los Angeles, CA - Medicare Pediatric Medicine

Harley Ian Kornblum, MD is a medicare enrolled "Pediatrics - Neurodevelopmental Disabilities" physician in Los Angeles, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Uc Regents and his current practice location is 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 206-3952.

Harley Ian Kornblum is licensed to practice in California (license number G70261) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386651115.

Contact Information

	Harley Ian Kornblum, MD
	10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075
	(310) 206-3952
	(310) 206-0209

Map and Direction

Physician's Profile

Full Name	Harley Ian Kornblum
Gender	Male
Speciality	Pediatric Medicine
Experience	35 Years
Location	10833 Le Conte Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Harley Ian Kornblum attended and graduated from University Of California, Irvine, California College Of Medicine in 1989

NPI Data:

NPI Number: 1386651115
Provider Enumeration Date: 08/02/2006
Last Update Date: 06/20/2012

Medicare PECOS Information:

PECOS PAC ID: 7517120629
Enrollment ID: I20120529000210

Medical Identifiers

Medical identifiers for Harley Ian Kornblum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386651115	NPI	-	NPPES
00G702610	Medicaid	CA
GR0053510	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0008X	Pediatrics - Neurodevelopmental Disabilities	G70261 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uc Regents	4587568829	51

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Harley Ian Kornblum allows following entities to bill medicare on his behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Harley Ian Kornblum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Harley Ian Kornblum, MD 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 Ph: (310) 206-3952	Harley Ian Kornblum, MD 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 Ph: (310) 206-3952

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Harley Ian Kornblum, MD - Medicare Pediatric Medicine in Los Angeles, CA