Individual
DR. ADAM MICHAEL BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 SUPERIOR AVE STE E-F, NEWPORT BEACH, CA 92663-3663
(499) 998-9799
(949) 999-8970
Mailing address
510 SUPERIOR AVE STE E-F, NEWPORT BEACH, CA 92663-3663
(949) 999-8979
(949) 999-8970
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101247479
VA
208800000X
Urology Physician
Primary
A111452
CA
208800000X
Urology Physician
D70357
MD
208800000X
Urology Physician
MD036805
DC
Other
Enumeration date
10/08/2008
Last updated
07/17/2023
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