HOLLY CYNTHIA CORN MD NPI 1568554624

NPI Information

  • NPI: 1568554624
  • Provider Name: HOLLY CYNTHIA CORN, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4650 W SUNSET BLVD
    MS# 113
    LOS ANGELES, CA
    ZIP 90027
  • Phone: (323) 669-2109

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NPI Details

Holly Cynthia Corn, MD is a pediatric emergency medicine pediatrics in Los Angeles, CA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Holly Cynthia Corn, MD NPI is 1568554624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4650 W SUNSET BLVD
MS# 113
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 669-2109
Fax: (323) 953-8519

The NPI 1568554624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0204XPediatricsPediatric Emergency MedicineG43559CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A49387MEDICARE UPINCALIFORNIA
200G435590 851OTHERCALIFORNIACAL OPTIMA
3WG43559BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
400G435590MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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