Individual
BLAKE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
3980 WILSHIRE BLVD APT 230, LOS ANGELES, CA 90010-4214
(812) 614-8864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A187755
CA
Other
Enumeration date
04/02/2021
Last updated
07/31/2025
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