Individual
DAVID WILLIAM BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, CHILDREN'S HOSPITAL LOS ANGELESM MS 100, LOS ANGELES, CA 90027-6062
(323) 361-2276
(323) 361-3534
Mailing address
4650 W SUNSET BLVD, CHILDREN'S HOSPITAL LOS ANGELES, MS 100, LOS ANGELES, CA 90027-6062
(323) 361-2276
(323) 361-3534
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G83234
CA
2086S0120X
Pediatric Surgery Physician
MD23219
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287477
—
OR
Enumeration date
08/03/2006
Last updated
03/23/2021
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