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Individual

RICHARD I BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
(619) 296-3888
(619) 296-3898
Mailing address
1868 ALTAMIRA PL, SAN DIEGO, CA 92103-1202
(619) 890-8107
(619) 296-6865

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G53758
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
G53758
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G537580
CA
Enumeration date
09/22/2006
Last updated
09/17/2020
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