Individual
DENNIS WALTER BLEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 E 120TH ST BLDG 14, LOS ANGELES, CA 90059-3026
(562) 867-7999
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(562) 867-7999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G24509
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
G24509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG24509C
PPIN
CA
Enumeration date
11/24/2006
Last updated
03/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us