Individual
GIDEON BLUMSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
4640 ADMIRALTY WAY STE 600, MARINA DEL REY, CA 90292-6638
(310) 448-7890
Mailing address
10833 LE CONTE AVE RM 76-143, LOS ANGELES, CA 90095-3075
(310) 825-6557
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
036.155746
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A149225
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
12/15/2022
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