Blitzer, Jonathan B.

Blitzer, Jonathan B. is an individual health care provider with primary practice located at 2810 Long Beach Blvd , Long Beach CA 90806-1558. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Blitzer, Jonathan B. can be contacted via phone (562) 933-1877.

Contact Information

Primary practice address
2810 Long Beach Blvd Long Beach CA 90806-1558
Phone: (562) 933-1877
Fax: (562) 933-1886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G062021 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G062021 California

Profile Details

NPI number 1912967324
LBN Legal business name Blitzer, Jonathan B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jan 3rd, 2018 - about 6 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 1912967324 NPPES
California MEDICAID GR0029650

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