person
Blake Simon, MD
Student in an Organized Health Care Education/Training Program in West Hollywood, California
NPI 1417536061

Blake Simon is a Student in an Organized Health Care Education/Training Program based in Greensburg, CA. Blake Simon practices in West Hollywood, CA and has the professional credentials of MD. The NPI Number for Blake Simon is 1417536061 and holds a License No. (California).

The current practice location address for Blake Simon is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 310-423-3277.

Location: 8700 Beverly Blvd, West Hollywood, CA, 47240-8698
person
Provider Profile Details
NPI Number
1417536061
Provider Name
Blake Simon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8700 Beverly Blvd, West Hollywood, CA, 47240-8698
Phone Number
310-423-3277
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
State
Zip
90048-1804
Phone Number
310-423-3277
Fax Number
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
State
Zip
90048-1804
Phone Number
310-423-3277
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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