Zisblatt, Uri Martin

Zisblatt, Uri Martin is an sole proprietor health care provider with primary practice located at 210 W San Bernardino Rd Dept Of Rad Onc, Covina CA 91723-1515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Zisblatt, Uri Martin can be contacted via phone (626) 915-6280.

Contact Information

Primary practice address
210 W San Bernardino Rd Dept Of Rad Onc Covina CA 91723-1515
Fax: (626) 859-5829
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G80195 California

Profile Details

NPI number 1114921616
LBN Legal business name Zisblatt, Uri Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Mar 19th, 2014 - about 10 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 1114921616 NPPES
California MEDICAID 00G801950
California Other P00796214
California Other 920003242
California Other 5568573
California Other 4988508

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