Doctor Name: | DR. ELEANOR S. BLATT |
NPI Number: | 1578804084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G7129 |
Business Practice Address: | 212 20th St Huntington Beach, CA - 926483914 |
Business Phone Number: | 7145361624 |
Business Fax Number: | |
Mailing Address: | 212 20th St, HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926483914 |
Phone Number: | 7145361624 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2013 |
NPI Last Update Date: | 03/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G7129 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |