Blumberg, Jeremy Matthew
Blumberg, Jeremy Matthew is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste 140 , Los Angeles CA 90095-8344. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology, Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Blumberg, Jeremy Matthew can be contacted via phone (310) 794-7152.Contact Information
Primary practice address
200 Ucla Medical Plz Ste 140
Los Angeles CA 90095-8344
Phone: (310) 794-7152
Fax: (310) 794-1666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology | 2080T0004X | A100479 | California |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | A100479 | California |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A100479 | California |
Profile Details
| NPI number | 1982889622 |
|---|---|
| LBN Legal business name | Blumberg, Jeremy Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Jan 7th, 2020 - about 4 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 | 1982889622 | NPPES |
| California | MEDICAID | 1982889622 |
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