| Phillip S Bland Md Inc | |
|
1127 Wilshire Blvd Ste 1010 Los Angeles CA 90017-4001 | |
| (213) 977-1047 | |
| Not Available |
| Full Name | Phillip S Bland Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1127 Wilshire Blvd Ste 1010, Los Angeles, California |
| Authorized Official Name and Position | Phillip S Bland (OWNER) |
| Authorized Official Contact | 2139771047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip S Bland Md Inc 1127 Wilshire Blvd Ste 1010 Los Angeles CA 90017-4001 Ph: (213) 977-1047 | Phillip S Bland Md Inc 1127 Wilshire Blvd Ste 1010 Los Angeles CA 90017-4001 Ph: (213) 977-1047 |
| NPI Number | 1295366318 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 02/28/2020 |
| Medicare PECOS PAC ID | 4880012780 |
|---|---|
| Medicare Enrollment ID | O20200909001470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295366318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Phillip Stephen Bland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881776524 PECOS PAC ID: 8729116579 Enrollment ID: I20100514000528 |
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