# NOAH A BLUMOFE DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669564043
- **Authorized official:** DR. NOAH AMRAM BLUMOFE D.P.M. (PRESIDENT CEO)
- **Authorized official phone:** (310) 770-0359

## Contact information

- **Practice address:** 1260 15TH ST, SUITE 1020, SANTA MONICA, CA 90404-1135
- **Practice address phone:** (310) 451-8045
- **Practice address fax:** (310) 451-8139
- **Mailing address:** 1260 15TH ST, SUITE 1020, SANTA MONICA, CA 90404-1135
- **Mailing address phone:** (310) 451-8045
- **Mailing address fax:** (310) 451-8139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4432 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 06/29/2009