Gerald A Blake
Medical Specialty
Professional ID
- NPI: 1457392938
- PECOS ID: 9537153770
- Enrollment ID: I20040412001022
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1972
Hospital Service
- Hospital CCN1: 050763
- Business Name (LBN)1: Silver Lake Medical Center
- Hospital CCN2: 050205
- Business Name (LBN)2: Glendora Community Hospital
Location
- Address1: 232 S Heliotrope Ave
- Address2:
- City: Monrovia
- State: California
- Zip Code: 91016
- Phone Number: (909)437-8142
Location
- Address1: 5000 San Bernardino St
- Address2:
- City: Montclair
- State: California
- Zip Code: 91763
- Phone Number: (909)625-8331
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):