Holly Cynthia Corn
MD | Pediatric Emergency Medicine | Female
Holly Cynthia Corn, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Holly Cynthia Corn is
4650 W Sunset Blvd, Ms# 113, Los Angeles, California - 90027-6062. She can be contacted on phone at
323-669-2109 and fax number 323-953-8519.
Holly Cynthia Corn is a sole proprietor of her business.
NPI number (Unique professional ID) for Holly Cynthia Corn is
1568554624 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 08 Jul, 2007.
Holly Cynthia Corn license number is
G43559 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in California.
Holly Cynthia Corn has special qualifications to manage emergencies in infants and children.
Complete Profile:
Holly Cynthia Corn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Holly Cynthia Corn |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Holly Cynthia Corn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4650 W Sunset Blvd, Ms# 113
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-669-2109 |
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| Fax Number : | 323-953-8519 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568554624 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holly Cynthia Corn are as mentioned. Primary taxonomy code for Holly Cynthia Corn, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | G43559 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Holly Cynthia Corn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G435590 | MEDICAID | CA | |
| 00G435590 851 | Other | CA | CAL OPTIMA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6430 W Sunset Blvd, Suite 600
Los Angeles, CA, 90028-7901
United States |
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| Phone Number : | 323-669-2337 |
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| Fax Number : | 323-644-8488 |
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Business Location:
Patients can refer following map for directions to
Holly Cynthia Corn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.