# EVELYN R. BLAZADO, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PATHOLOGY ASSOCIATES OF PARADISE VALLEY, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043496334
- **Authorized official:** EVELYN R BLAZADO MD (PRESIDENT)
- **Authorized official phone:** (619) 470-4321

## Contact information

- **Practice address:** 2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
- **Practice address phone:** (619) 470-4321
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (619) 470-4321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/18/2008