Calvin J. Blasco | |
1720 Ellincourt Dr Apt. 10 South Pasadena CA 91030-2110 | |
(760) 880-2854 | |
(619) 878-2996 |
Full Name | Calvin J. Blasco |
---|---|
Speciality | Clinic/center |
Location | 1720 Ellincourt Dr, South Pasadena, California |
Authorized Official Name and Position | Calvin John Blasco (CRNA) |
Authorized Official Contact | 7608802854 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Calvin J. Blasco 1720 Ellincourt Dr Apt. 10 South Pasadena CA 91030-2110 Ph: (760) 880-2854 | Calvin J. Blasco 1720 Ellincourt Dr Apt. 10 South Pasadena CA 91030-2110 Ph: (760) 880-2854 |
NPI Number | 1154877587 |
---|---|
Provider Enumeration Date | 08/26/2016 |
Last Update Date | 08/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154877587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 720477 (California) | Primary |
News Archive
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