Bland, Phillip Stephen
Bland, Phillip Stephen is an sole proprietor health care provider with primary practice located at 1127 Wilshire Blvd Suite 1010, Los Angeles CA 90017-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bland, Phillip Stephen can be contacted via phone (213) 977-1047.Contact Information
Primary practice address
1127 Wilshire Blvd Suite 1010
Los Angeles CA 90017-4001
Phone: (213) 977-1047
Fax: (213) 977-9160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | G62795 | California |
Profile Details
| NPI number | 1881776524 |
|---|---|
| LBN Legal business name | Bland, Phillip Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Apr 2nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881776524 | NPPES |
| California | MEDICAID | 00G627950 |
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