Healthcare Provider Details

I. General information

NPI: 1417288564
Provider Name (Legal Business Name): MICHAEL FRANZBLAU, M.D., A PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N BEDFORD DR STE 305
BEVERLY HILLS CA
90210-4348
US

IV. Provider business mailing address

435 N BEDFORD DR STE 305
BEVERLY HILLS CA
90210-4348
US

V. Phone/Fax

Practice location:
  • Phone: 310-793-9285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL FRANZBLAU
Title or Position: OWNER
Credential:
Phone: 310-793-9285