Provider Demographics
NPI:1235242165
Name:BLATT, JOSEPH A (MD)
Entity Type:Individual
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First Name:JOSEPH
Middle Name:A
Last Name:BLATT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9834 GENESEE AVE
Mailing Address - Street 2:HM POOLE BLDG., SUITE 114
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1223
Mailing Address - Country:US
Mailing Address - Phone:858-334-2400
Mailing Address - Fax:858-334-2401
Practice Address - Street 1:9834 GENESEE AVE
Practice Address - Street 2:HM POOLE BLDG., SUITE 114
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1223
Practice Address - Country:US
Practice Address - Phone:858-334-2400
Practice Address - Fax:858-334-2401
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2021-11-22
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Provider Licenses
StateLicense IDTaxonomies
CAA114521207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology