Healthcare Provider Details

I. General information

NPI: 1346207388
Provider Name (Legal Business Name): LAURA BLOK-KALNASY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 SANTA MONICA BLVD FL 2
WEST HOLLYWOOD CA
90069-4496
US

IV. Provider business mailing address

5665 PEACHTREE DUNWOODY RD NE
ATLANTA GA
30342-1764
US

V. Phone/Fax

Practice location:
  • Phone: 323-900-4403
  • Fax:
Mailing address:
  • Phone: 404-851-7294
  • Fax: 404-851-7958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number005205
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPA16755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: