Blau, Carl I
Blau, Carl I is an sole proprietor health care provider with primary practice located at 5400 Balboa Blvd Ste #228, Encino CA 91316-1502. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blau, Carl I can be contacted via phone (818) 886-6848.Contact Information
Primary practice address
5400 Balboa Blvd Ste #228
Encino CA 91316-1502
Phone: (818) 886-6848
Fax: (818) 886-0352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A23803 | California |
Profile Details
| NPI number | 1598774259 |
|---|---|
| LBN Legal business name | Blau, Carl I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1598774259 | NPPES |
| California | MEDICAID | 00A238030 |
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