Organization
JAMES P BLITZ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PETER BLITZ MD (PRESIDENT)
(626) 795-6596
Entity
Organization
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5000
(626) 397-2912
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G272550
BLUE SHIELD
CA
05
—
00G272550
—
CA
Enumeration date
08/05/2006
Last updated
10/07/2014
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