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Individual

ALYSSA ERIN BLUMENFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8155
Mailing address
2015 UPPERGATE DRIVE NE 5TH FLOOR, ATLANTA, GA 30322-0001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
92606
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
A202343
CA
390200000X
Student in an Organized Health Care Education/Training Program
92606
GA
390200000X
Student in an Organized Health Care Education/Training Program
MDRE.ML.60950738
WA

Other

Enumeration date
03/18/2019
Last updated
07/09/2025
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