Blank, Julia

Blank, Julia is an individual health care provider with primary practice located at 881 Alma Real Dr Ste 101 , Pacific Palisades CA 90272-3792. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blank, Julia can be contacted via phone (310) 829-8923.

Contact Information

Primary practice address
881 Alma Real Dr Ste 101 Pacific Palisades CA 90272-3792
Fax: (424) 212-5936
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A83790 California

Profile Details

NPI number 1891736757
LBN Legal business name Blank, Julia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891736757 NPPES
California Other W14560D MEDICARE PTAN

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