Dr. Jonathan Michael Blau
Adult Reconstructive Orthopaedic Surgeon
16311 Ventura Blvd Ste 1150
Encino
, California 91436-4386
Dr. Jonathan Michael Blau
Adult Reconstructive Orthopaedic Surgeon
16311 Ventura Blvd Ste 1150
Encino
, California 91436-4386
(818) 477-0677
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jonathan Michael Blau
- 16311 Ventura Blvd Ste 1150
- Encino, CA
- Zip : 91436-4386
- Fax : (818) 477-0677
- Phone : (818) 477-0787
Second Address
- Dr. Jonathan Michael Blau
- 16311 Ventura Blvd Ste 1150
- Encino, CA
- Zip : 91436-4386
- Fax : (818) 477-0677
- Phone : (818) 477-0787
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 141061 | CA |
National Provider Identifier
| NPI | 1396066619 |
|---|---|
| Provider Name | Dr. Jonathan Michael Blau |
| First Address | Encino, CA 91436-4386 |
| Second Address | Encino, CA 91436-4386 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2010 |
| Last Update Date | 11/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.