Individual
ADOLFO A BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
(714) 647-1245
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C53079
CA
207L00000X
Anesthesiology Physician
D60834
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D60834
MD
Other
Enumeration date
04/22/2006
Last updated
03/13/2014
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