Dr DAVID BLACKHAM is a male medical professional, specializing in Internal Medicine. He graduated in 1984 from New York Medical College.
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13640 ROSCOE BLVD
PANORAMA CITY
CA
914023904
Tel: 8183752000
| Npi | 1265580203 |
| Pac Id | 0648301416 |
| Professional Enrollment Id | I20100623000877 |
| Last Name | BLACKHAM |
| First Name | DAVID |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Group Practice Pac Id | 6002729175 |
| Number Of Group Practice Members | 8118 |
| Line 1 Street Address | 13640 ROSCOE BLVD |
| Line 2 Street Address | |
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| City | PANORAMA CITY |
| State | CA |
| Zip Code | 914023904 |
| Phone Number | 8183752000 |
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| Professional Accepts Medicare Assignment | Y |
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