Individual
CARL I BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 BALBOA BLVD, STE #228, ENCINO, CA 91316-1502
(818) 886-6848
(818) 886-0352
Mailing address
PO BOX 260710, ENCINO, CA 91426-0710
(818) 886-6848
(818) 886-0352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A23803
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A238030
—
CA
Enumeration date
08/05/2006
Last updated
07/08/2007
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