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Contact Information

THEODORE BLATT, MD
2170 TOWNE CENTRE PLACE
#320
ANAHEIM, CA92806
 Phone: 714-935-3042
 Fax: 714-935-3010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THEODORE BLATT · (Male)

NPI Number 1063686087
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2008
Last updated 04/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G27506
  • CA Other G27506 CA LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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