Blake M Alban
MD | Pediatrics | Male
Blake M Alban, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Blake M Alban is
11318 National Blvd, Los Angeles, California - 90064-3727. He can be contacted on phone at
310-231-9150 and fax number 310-268-9319.
Blake M Alban is a sole proprietor of his business.
NPI number (Unique professional ID) for Blake M Alban is
1619980406 which was assigned by NPPES on 14 Aug, 2006 and it was last updated on 03 Jan, 2020.
Blake M Alban license number is
A74491 for Pediatrics (208000000X) in California.
Blake M Alban is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Blake M Alban basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Blake M Alban |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Blake M Alban address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11318 National Blvd
Los Angeles, CA, 90064-3727
United States |
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| Phone Number : | 310-231-9150 |
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| Fax Number : | 310-268-9319 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619980406 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Aug, 2006 |
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| Last Updated On : | 03 Jan, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blake M Alban are as mentioned. Primary taxonomy code for Blake M Alban, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | A74491 | CA |
| 208000000X | Pediatrics | Yes | A74491 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Blake M Alban such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A744910 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5767 W Century Blvd Ste 400
Los Angeles, CA, 90045-5631
United States |
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Business Location:
Patients can refer following map for directions to
Blake M Alban practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.