Donald Kornblau, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14121 Issued in CA

Practice address

925 W 34TH St # 151
Los Angeles, CA 90089-0058

Phone

(213) 740-7405

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Southern California Ostrow School of Dentistry Adv. Oper

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1902236045
  NPD (past)
• Verdugo Hills Pharmacy Inc

  dba USC Verdugo Hills Professional Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
  • NPI 1144615550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1912174129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST # 151",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-740-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST # 151",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-740-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLAU",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "14121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Rajashree Korlekar
• Elika Kormeili, MFT
• William Mark Korn, LCSW, MSW, M.ED.
• Rosalynn Kornak
• Daniel Leon Kornberg, M.D.
• Harley Ian Kornblum, M.D.
• Penelope Grace Kornbluth, R.N, NP, MSN
• Herbert R Kornfeld, M.D.
• David Samuel Kornsand, M.D.
• Coco Celia Kornspan

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.