MEDICARE: DR. MICHAEL JOSEPH BLUMENKRANTZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	G17734	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619984234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOSEPH BLUMENKRANTZ M.D.

Provider Business Mailing Address
First Line	:	2080 CENTURY PARK E
Second Line	:	SUITE 1207
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2015
Country	:	US
Telephone Number	:	310-289-9824
Fax Number	:	310-277-3659

Provider Business Practice Location Address
First Line	:	2080 CENTURY PARK E
Second Line	:	SUITE 1207
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2015
Country	:	US
Telephone Number	:	310-289-9824
Fax Number	:	310-277-3659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/16/2013

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Directions to “ DR. MICHAEL JOSEPH BLUMENKRANTZ M.D.” Practice Location

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