David Kovi Blauner

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1265790917 Issued in CA

Practice address

5675 W Olympic Blvd
Los Angeles, CA 90036-4712

Phone

(323) 965-1365

Fax

(323) 965-0444

NPI assigned

Sep 20, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1336658574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 ALBERS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914016002",
            "telephone_number": "323-841-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364712",
            "telephone_number": "323-965-1365",
            "fax_number": "323-965-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUNER",
        "first_name": "DAVID",
        "middle_name": "KOVI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1265790917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Blaska, AGACNP
• Margaret Blatter
• Rebecca Suzanne Blau, PT, DPT
• Roni Susan Blau, LCSW
• Myrna E Blaufarb, PH.D.
• Monica Blauner, MSW
• Alan Blaustein, M.D.
• Jenna Rose Blaustein, NP
• Serenity Blauvelt, LPCC
• Dennis Walter Bleakley, M.D.

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.