Blum, Gary M
Blum, Gary M is an individual health care provider with primary practice located at 2320 Bath St Suite 208, Santa Barbara CA 93105-4339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blum, Gary M can be contacted via phone (805) 682-7984.Contact Information
Primary practice address
2320 Bath St Suite 208
Santa Barbara CA 93105-4339
Phone: (805) 682-7984
Fax: (805) 569-2964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G58816 | California |
Profile Details
| NPI number | 1629020615 |
|---|---|
| LBN Legal business name | Blum, Gary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 9th, 2014 - about 11 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 | 1629020615 | NPPES |
| California | Other | 00G588160 | BLUE SHIELD OF CA |
| California | Other | 300057286 | BLUE SHIELD OF CA |
| California | MEDICAID | 00G588160 | BLUE SHIELD OF CA |
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