Kornbluth, Penelope Grace
Kornbluth, Penelope Grace is an individual health care provider with primary practice located at 8631 W 3Rd St Suite 800E, Los Angeles CA 90048-5901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kornbluth, Penelope Grace can be contacted via phone (310) 423-0840.Contact Information
Primary practice address
8631 W 3Rd St Suite 800E
Los Angeles CA 90048-5901
Phone: (310) 423-0840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 16805 | California |
Profile Details
| NPI number | 1740485903 |
|---|---|
| LBN Legal business name | Kornbluth, Penelope Grace |
| Credentials | R.N, NP, MSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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