Mikhail Blinchik MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A96997 Issued in CA

Legal business name

MIKHAIL BLINCHIK MD INC

Practice address

88 N Roosevelt Ave
# 22
Pasadena, CA 91107-6827

Phone

(818) 808-3488

Fax

(626) 974-0450

NPI assigned

May 17, 2011

Last updated

May 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikhail Blinchik, MD

Title

MD, President

Phone

(818) 808-3488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1588957047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 N ROOSEVELT AVE",
            "address_2": "# 22",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076827",
            "telephone_number": "818-808-3488",
            "fax_number": "626-974-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N ROOSEVELT AVE",
            "address_2": "# 22",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076827",
            "telephone_number": "818-808-3488",
            "fax_number": "626-974-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL BLINCHIK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "BLINCHIK",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "MD, PRESIDENT",
        "authorized_official_telephone_number": "818-808-3488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayiri Abnous Mikaelian, OD
• Sheila Mikail, LMFT
• Julie Mikashus, PSY.D.
• Mike V Wong OD a Professional Corp (Pasadena Eyecare Optometry)
• Rob B Mikels, ATC
• Asbasia Aboelkhair Mikhail, M.D.
• Thomas Alan Miklusak, MD PHD
• Patricia Mary Mikulan, RN
• Michael Paul Mikulski, MFT
• Geoff Milam, LCSW

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.