Individual
BLAKE M ALBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11318 NATIONAL BLVD, LOS ANGELES, CA 90064-3727
(310) 231-9150
(310) 268-9319
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A74491
CA
208000000X
Pediatrics Physician
Primary
A74491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A744910
—
CA
Enumeration date
08/14/2006
Last updated
01/03/2020
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