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Individual
DR. ROBERT L. BLANCO
Active
Individual
DR. ROBERT L. BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G041147
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G041147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G411470
PIN
CA
05
—
00G411470
—
CA
01
—
2084P0800X
TAXONOMY NUMBER
CA
Enumeration date
10/10/2006
Last updated
06/25/2021
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