Bleakley, Dennis Walter
Bleakley, Dennis Walter is an individual health care provider with primary practice located at 1670 E 120Th St Bldg 14 , Los Angeles CA 90059-3026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bleakley, Dennis Walter can be contacted via phone (562) 867-7999.Contact Information
Primary practice address
1670 E 120Th St Bldg 14
Los Angeles CA 90059-3026
Phone: (562) 867-7999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | G24509 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G24509 | California |
Profile Details
| NPI number | 1467527382 |
|---|---|
| LBN Legal business name | Bleakley, Dennis Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Mar 9th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467527382 | NPPES |
| California | Other | WG24509C | PPIN |
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