# ELDER AUDIO REHAB MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871743856
- **Authorized official:** MR. MARSHALL EDWARD BLESOFSKY PA-C (PROVIDER/COO)
- **Authorized official phone:** (562) 760-8823

## Contact information

- **Practice address:** 4029 E ANAHEIM ST, LONG BEACH, CA 90804-4110
- **Practice address phone:** (562) 494-4421
- **Practice address fax:** (562) 494-2731
- **Mailing address:** 65 PINE AVE, SUITE 119, LONG BEACH, CA 90802-4718
- **Mailing address phone:** (562) 760-8823
- **Mailing address fax:** (562) 252-9505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 363A00000X | Physician Assistant | FNP37597 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 02/18/2011