Individual
JOHN CHARLES BLAUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SANTA BARBARA COTTAGE HOSPITAL, PUEBLO AT BATH, SANTA BARBARA, CA 93102
(805) 569-7367
(805) 569-8354
Mailing address
PO BOX 5007, SAN LUIS OBISPO, CA 93403-5007
(805) 710-7308
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
G654820
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G654820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G654820
—
CA
01
—
1356409379
GROUP NPI
CA
01
—
220006228
RAILROAD MEDICARE
CA
01
—
G654820
MEDICAL BOARD OF CA
CA
01
—
ZZZ42967Z
BLUE SHIELD
CA
Enumeration date
12/04/2006
Last updated
06/21/2024
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