Individual
MR. RICHARD LINN BLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6301 OWENSMOUTH AVE, #200 THE WELLNESS CENTER, WOODLAND HILLS, CA 91367-2216
(818) 704-2914
(818) 712-2100
Mailing address
2389 FOUNTAIN CREST LN, #13, THOUSAND OAKS, CA 91362-5777
(805) 794-0557
(818) 712-2100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13776
CA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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