Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A104323 | CA |
N | 111NI0900X | Internist | A104323 | CA |
Y | 207RI0200X | Infectious Disease | A104323 | CA |
NPI | 1033379268 |
---|---|
Provider Name | Dr. Emily Blodget |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 28/08/2020 |