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
Phone: (714) 842-0651
Fax: (714) 848-7826
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225093198 | NPPES |
California | MEDICAID | 00C240880 |
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