Bleifer, Kenneth H

Bleifer, Kenneth H is an individual health care provider with primary practice located at 5525 Etiwanda Ave Suite 320, Tarzana CA 91356-3647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bleifer, Kenneth H can be contacted via phone (818) 774-3838.

Contact Information

Primary practice address
5525 Etiwanda Ave Suite 320 Tarzana CA 91356-3647
Fax: (818) 774-3590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A17238 California

Profile Details

NPI number 1588643647
LBN Legal business name Bleifer, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Dec 16th, 2013 - about 11 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 1588643647 NPPES
California MEDICAID 00A172380

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