Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | GFE 4174 | CA |
NPI | 1033261037 |
---|---|
Provider Name | Dr. Saul K. Bloch |
First Address | Los Angeles, CA 90025-4594 |
Second Address | Los Angeles, CA 90025-4594 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 08/07/2007 |