Dr. Michael Blake Runyon
Foot Surgery
13701 Burbank Blvd
Van Nuys
, California 91401-5040
Dr. Michael Blake Runyon
Foot Surgery
13701 Burbank Blvd
Van Nuys
, California 91401-5040
(818) 997-4458
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Blake Runyon
- 13701 Burbank Blvd
- Van Nuys, CA
- Zip : 91401-5040
- Fax : (818) 997-4458
- Phone : (818) 997-1216
Second Address
- Dr. Michael Blake Runyon
- 13701 Burbank Blvd
- Van Nuys, CA
- Zip : 91401-5040
- Fax : (818) 997-4458
- Phone : (818) 997-1216
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | E1908 | CA |
National Provider Identifier
| NPI | 1225006950 |
|---|---|
| Provider Name | Dr. Michael Blake Runyon |
| First Address | Van Nuys, CA 91401-5040 |
| Second Address | Van Nuys, CA 91401-5040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AR7369463 | DEA NUMBER (01) | |
| E1908 | CALIFORNIA STATE LICENSE (01) | CA |
| T19144 | (02) | CA |
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.