Individual
ELIZABETH BLOTKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PEDIATRIC ASSOCIATES MEDICAL GROUP, 4330 FULTON AVENUE, SHERMAN OAKS, CA 91423
(818) 784-1102
Mailing address
1610 SILVERWOOD TER, LOS ANGELES, CA 90026-1448
(310) 890-8975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A165305
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2018
Last updated
08/18/2021
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