Individual
DR. JACOB BLASCHKO-IVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
3734 SEPULVEDA BLVD, TORRANCE, CA 90505-2513
(310) 375-6161
Mailing address
3734 SEPULVEDA BLVD, TORRANCE, CA 90505-2513
(507) 995-8875
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
3454
CA
390200000X
Student in an Organized Health Care Education/Training Program
12464
CA
Other
Enumeration date
03/19/2019
Last updated
09/10/2019
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