Individual provider · Type 1 NPI

Norma Lynn Blackwater, MD

General Practice Physician · Los Angeles, CA

NPI number 1457476038 Active

Practice location

1125 W 6th St, Suite 103
Los Angeles, CA 90017-1833

Call (213) 202-3970 Map

Fax (213) 975-9257

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XG83912 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1457476038

Norma Lynn Blackwater, MD's National Provider Identifier is 1457476038, issued on Mar 20, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 8, 2011.