Blau, Robert Ivan

Blau, Robert Ivan is an individual health care provider with primary practice located at 19671 Beach Blvd Suite 400, Huntington Beach CA 92648-5901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Blau, Robert Ivan can be contacted via phone (714) 842-0651.

Contact Information

Primary practice address
19671 Beach Blvd Suite 400 Huntington Beach CA 92648-5901
Fax: (714) 848-7826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C24088 California

Profile Details

NPI number 1225093198
LBN Legal business name Blau, Robert Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1225093198 NPPES
California MEDICAID 00C240880

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