Individual
MIRIAM BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5580 LA JOLLA BLVD, PMB 610, LA JOLLA, CA 92037-7651
(858) 729-0993
(858) 729-0992
Mailing address
5580 LA JOLLA BLVD, PMB 610, LA JOLLA, CA 92037-7651
(858) 729-0993
(858) 729-0992
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G61294
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G61294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G763090
DHS PPIN
CA
Enumeration date
03/17/2006
Last updated
02/12/2012
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