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NPI Code Detail

MEDICARE: MALCOLM DAVID BLANCHARD M.D.

MEDICARE: MALCOLM DAVID BLANCHARD 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
1207R00000XInternal Medicine PhysicianA133200CA
2208000000XPediatrics PhysicianA133200CA

General Provider Information

NPI Number : 1861712663
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALCOLM DAVID BLANCHARD M.D.
Provider Business Mailing Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 310-537-1337
Fax Number :
Provider Business Practice Location Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 310-537-1337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2010
Last Update Date : 08/03/2020

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Directions to “ MALCOLM DAVID BLANCHARD M.D.” Practice Location

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