Individual
DR. ELEANOR S. BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 20TH ST, HUNTINGTON BEACH, CA 92648-3914
(714) 536-1624
Mailing address
212 20TH ST, HUNTINGTON BEACH, CA 92648-3914
(714) 536-1624
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G7129
CA
208D00000X
General Practice Physician
G7129
CA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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