Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MICHAEL BLAU, M.D.
Active Sole ProprietorDR. JONATHAN MICHAEL BLAU, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in ENCINO, California. NPI 1396066619 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · ENCINO, CA
Registration Details
- NPI Number
- 1396066619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2010 (16.191060600185 yrs)
- Last Updated
- Jun 11, 2019
- License
-
141061 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16311 VENTURA BLVD STE 1150ENCINO, CA, 914364386Browse CA providers · Browse ZIP 91436
- Phone
- 8184770787
- Fax
- 8184770677
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Other Sports Medicine (Orthopaedic) Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| SHAHIN E SHEIBANI-RAD | M.D. | 1679779649 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.