Individual
MR. ARTHUR ANTHONY BLAIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
(858) 279-0377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A63511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A635110
BLUE SHIELD
CA
01
—
CB228972
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER PTAN
—
01
—
P01455185
RAILROAD
—
Enumeration date
07/19/2006
Last updated
08/25/2023
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