Organization
ILENA J. BLICKER, MD, AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENA JOYCE BLICKER M.D. (PRESIDENT)
(818) 240-1677
Entity
Organization
Contact information
Practice address
435 ARDEN AVE, 540, GLENDALE, CA 91203-1130
(818) 240-1677
(818) 240-0147
Mailing address
435 ARDEN AVE, 540, GLENDALE, CA 91203-1130
(818) 240-1677
(818) 240-0147
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G19424
CA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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