Organization
J ROBERT WEST, M.D., INC
Active
Parent organization
J ROBERT WEST, M.D., INC
Other names
WEST DERMATOLOGY AND SURGERY MEDICAL GROUP, West Dermatology, SOUTHERN CALIFORNIA DERMATOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
J ROBERT WEST, M.D., INC
Authorized official
LUCIUS BLANCHARD M.D. (OWNER/PHYSICIAN)
(214) 618-6123
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR STE 702, NEWPORT BEACH, CA 92660-7669
(949) 644-0101
(949) 644-1868
Mailing address
9900 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0928
(214) 987-3376
(469) 532-0273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
C53342
CA
207NS0135X
Procedural Dermatology Physician
G4302
CA
207ZD0900X
Dermatopathology (Pathology) Physician
C53342
CA
207ZD0900X
Dermatopathology (Pathology) Physician
G4302
CA
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA7620
RAILROAD MEDICARE
CA
01
—
CD5363
RAILROAD MEDICARE
CA
01
—
CG5410
RAILROAD MEDICARE
NV
01
—
ZZZ24828Z
BLUE SHIELD PROVIDER NUMB
CA
01
—
ZZZ24833Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
05/23/2006
Last updated
05/12/2026
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