Organization · Type 2 NPI
Blaise Health
Addiction Medicine (Family Medicine) Physician · Northridge, CA
NPI number
1972268316
Active
Practice location
19350 Business Center Dr Ste 100
Northridge, CA 91324-6432
Fax (747) 202-0262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
Another provider at this address
About NPI 1972268316
Blaise Health's National Provider Identifier is 1972268316, issued on Nov 1, 2021. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Northridge, CA. The record was last updated on Aug 28, 2026.