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Contact Information

PHILLIP S BLAND, MD
1127 WILSHIRE BLVD
SUITE 1010
LOS ANGELES, CA90017-4001
 Phone: 213-977-1047
 Fax: 213-977-9160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHILLIP S BLAND · (Male)

NPI Number 1881776524
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 04/02/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G62795
  • CA Medicaid 00G627950
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    1225 WILSHIRE BOULEVARD
    LOS ANGELES, CA 90017
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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