Individual
DR. JONATHAN MICHAEL BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16311 VENTURA BLVD STE 1150, ENCINO, CA 91436-4386
(818) 477-0787
(818) 477-0677
Mailing address
16311 VENTURA BLVD STE 1150, ENCINO, CA 91436-4386
(818) 477-0787
(818) 477-0677
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
141061
CA
Other
Enumeration date
06/22/2010
Last updated
06/11/2019
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