Blankenbaker, Richard Stanfill

Blankenbaker, Richard Stanfill is an individual health care provider with primary practice located at 520 Superior Ave Ste 325, Newport Beach CA 92663-3667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Blankenbaker, Richard Stanfill can be contacted via phone (949) 548-6634.

Contact Information

Primary practice address
520 Superior Ave Ste 325 Newport Beach CA 92663-3667
Phone: (949) 548-6634
Fax: (949) 548-1431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD2023-1626 New Mexico
Other Service Providers / Specialist 174400000X G76312 California

Profile Details

NPI number 1639273253
LBN Legal business name Blankenbaker, Richard Stanfill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jan 9th, 2024 - about 11 months 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 1639273253 NPPES
California MEDICAID 010884465

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