Provider Demographics
NPI:1134225147
Name:BLECHMAN, BETSY E (MD)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:E
Last Name:BLECHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3831 HUGHES AVE
Mailing Address - Street 2:500
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2751
Mailing Address - Country:US
Mailing Address - Phone:310-838-3834
Mailing Address - Fax:310-838-4031
Practice Address - Street 1:3831 HUGHES AVE
Practice Address - Street 2:500
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2751
Practice Address - Country:US
Practice Address - Phone:310-838-3834
Practice Address - Fax:310-838-4031
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG39062207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG39062Medicare ID - Type Unspecified
CAA92045Medicare UPIN