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NPI Code Detail

MEDICARE: DR. PHILIP MILES BLUMENSHINE M.D.

MEDICARE:  DR. PHILIP MILES BLUMENSHINE  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
12084P0800XPsychiatry PhysicianA163293CA

General Provider Information

NPI Number : 1811288368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP MILES BLUMENSHINE M.D.
Provider Business Mailing Address
First Line : 10921 WILSHIRE BLVD STE 602
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4003
Country : US
Telephone Number : 213-394-8500
Fax Number : 213-394-8600
Provider Business Practice Location Address
First Line : 10921 WILSHIRE BLVD STE 602
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4003
Country : US
Telephone Number : 213-394-8500
Fax Number : 213-394-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 01/20/2026

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Directions to “ DR. PHILIP MILES BLUMENSHINE M.D.” Practice Location

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