DR. S SANFORD KORNBLUM (NPI# 1063569432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063569432 |
| Entity Type | Individual |
| Full Name | DR. S SANFORD KORNBLUM |
| Credential | M.D. |
| Practice Address |
415 N Crescent Dr #300 Beverly Hills CA 90210-4860 |
| Mailing Address |
415 N. Crescent Dr. #300 Beverly Hills CA 90210-6814 |
| Practice Telephone | 3104797811 |
| Practice Fax Number | 3102738410 |
| Mailing Telephone | 3104797811 |
| Mailing Fax Number | 3102738410 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | G0004980 | CA | Other Service Providers |
| Street Address |
415 N CRESCENT DR #300 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578563896 | Chester Alan Hasday | Orthopaedic Surgery | 415 N Crescent Dr, Suite 300, Beverly Hills, CA 90210-4860 | 2005-07-28 |
| 1881107704 | Azine Chafai | Occupational Therapist | 415 N Crescent Dr, Beverly Hills, CA 90210-4860 | 2017-11-14 |
| 1285174417 | Sophia Bubrick | Occupational Therapist | 415 N Crescent Dr, Suite 103, Beverly Hills, CA 90210-4860 | 2017-03-07 |
| 1942745187 | Mae Murakami | Physical Therapist | 415 N Crescent Dr, Suite 130, Beverly Hills, CA 90210-4860 | 2016-12-26 |
| 1770034290 | Tri-l Medical Group Inc | General Acute Care Hospital | 415 N Crescent Dr, Suite 140, Beverly Hills, CA 90210-4860 | 2016-10-19 |
| 1851750699 | Small Talk Speech and Language Therapy, Inc | Early Intervention Provider Agency | 415 N Crescent Dr, Suite 360, Beverly Hills, CA 90210-4860 | 2016-02-22 |
| 1386013928 | S-wonny, LLC | Acupuncturist | 415 N Crescent Dr, Suite 140, Beverly Hills, CA 90210-4860 | 2015-09-24 |
| 1609244706 | Elizabeth Ruminski | Physical Therapist | 415 N Crescent Dr, Suite 130, Beverly Hills, CA 90210-4860 | 2015-09-04 |
| 1245615301 | Yung-hui Hsieh | Acupuncturist | 415 N Crescent Dr, #140, Beverly Hills, CA 90210-4860 | 2015-07-29 |
| 1831593672 | Primavera Garcia | Physical Therapy Assistant | 415 N Crescent Dr, 130, Beverly Hills, CA 90210-4860 | 2014-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528199361 | Franklin C Milgrim | Legal Medicine | 8730 Wilshire Blvd Ste 210, Beverly Hills, CA 90210 | 2007-03-07 |
| 1649381039 | Bijan Pourat | Legal Medicine | 9001 Wilshire Blvd Ste 308, Beverly Hills, CA 90211 | 2006-08-31 |
| 1164423547 | Eli Ginsburg | Legal Medicine | 9001 Wilshire Blvd, 302, Beverly Hills, CA 90211-1838 | 2005-08-09 |
| 1710201413 | Avner Manzoor Mandel | Legal Medicine | 9301 Wilshire Blvd, Suite # 512, Beverly Hills, CA 90210-5424 | 2010-03-24 |
| 1174718241 | Susan Cheryl Spell | Legal Medicine | 436 N Bedford Dr, Suite 300, Beverly Hills, CA 90210-4310 | 2007-09-11 |
| 1215140769 | David Paul Bedrin | Legal Medicine | 8306 Wilshire Blvd, Suite 579, Beverly Hills, CA 90211-2304 | 2007-05-08 |
| 1497782452 | Katharine C Durso | Legal Medicine | 8530 Wilshire Blvd, Suite 250, Beverly Hills, CA 90211-3122 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.