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
Phone: (310) 829-8923
Fax: (424) 212-5936
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891736757 | NPPES |
California | Other | W14560D | MEDICARE PTAN |
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