Norma Lynn Blackwater in Los Angeles - General Practice

Norma Lynn Blackwater - NPI 1457476038

Norma Lynn Blackwater is a General Practice in Los Angeles, California. Norma Lynn Blackwater practices all healthcare services and medical treatments related to General Practice. The NPI Number for Norma Lynn Blackwater is 1457476038. The last update date is 2011-12-08.

Norma Lynn Blackwater's current location address is 1125 W 6th St, Los Angeles, California. You can contact this provider via phone number 2132023970 and fax number 2139759257. The mailing address for Norma Lynn Blackwater is 1125 W 6th St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Norma Lynn Blackwater
Address 1125 W 6th St, Los Angeles, California
Phone Number 2132023970
Fax Number 2139759257
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1457476038
Provider Enumeration Date 2007-03-20
Last Updated Date 2011-12-08

Provider Mailing Address Detail

Address 1125 W 6th St
City Los Angeles
State California (CA)
Post Code 900171833
Phone Number 2132023970
Fax Number 2139759257

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No G83912
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G839120 CA --

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FAQs about Norma Lynn Blackwater

What is the unique provider identifier assigned to Norma Lynn Blackwater?

The Norma Lynn Blackwater has been issued the NPI (National Provider Identifier) 1457476038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Norma Lynn Blackwater's facilities are situated?

The facilities of Norma Lynn Blackwater are physically located at the following address: 1125 W 6Th St, Los Angeles, CA, 900171833.

What is the area of specialization for Norma Lynn Blackwater, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Norma Lynn Blackwater is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.

On what date was the 1457476038 assigned to Norma Lynn Blackwater?

The Norma Lynn Blackwater was issued its 1457476038 on 2007-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Norma Lynn Blackwater, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Norma Lynn Blackwater, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-08.

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