# PALO ALTO PERFUSION SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124630900
- **Authorized official:** MRS. TANYA L BLODGET CCP (PRESIDENT AND CHIEF PERFUSIONIST)
- **Authorized official phone:** (408) 202-5609

## Contact information

- **Practice address:** 3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
- **Practice address phone:** (408) 202-5609
- **Mailing address:** 2825 MAURICIA AVE, SANTA CLARA, CA 95051-6857
- **Mailing address phone:** (408) 202-5609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 08/21/2020