Individual
DR. BLAKE ANDREW OHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(833) 574-2273
Mailing address
950 VENICE BLVD APT F, VENICE, CA 90291-4962
(817) 565-8190
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
95001936
CA
Other
Enumeration date
12/08/2022
Last updated
10/27/2023
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