Blake Butler Sparks, M.D.

NPI #1194112870 in Irvine, California

Provider Information

NPI Number: 1194112870
Entity Type: Individual
Name: Blake Butler Sparks, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Apr 21, 2015
Last Updated: Sep 11, 2025

Practice Location

Address: 113 WATERWORKS WAY STE 300
City: Irvine
State: California
ZIP Code: 92618-3174
Phone: (949) 653-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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