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Organization
LUIS M BLANDO MD INC
Active
Organization
LUIS M BLANDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORIO DE GRANO NP (PRACTICE OWNER)
(818) 516-8066
Entity
Organization
Contact information
Practice address
222 E CLARION DR, CARSON, CA 90745-1514
(805) 487-3881
(805) 487-3963
Mailing address
222 E CLARION DR, CARSON, CA 90745-1514
(805) 487-3881
(805) 487-3963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C41127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C411270
—
CA
Enumeration date
10/25/2006
Last updated
10/25/2025
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