Organization
CALVIN J. BLASCO
Active
Organization
CALVIN J. BLASCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN JOHN BLASCO CRNA (CRNA)
(760) 880-2854
Entity
Organization
Contact information
Practice address
1720 ELLINCOURT DR, APT. 10, SOUTH PASADENA, CA 91030-2110
(760) 880-2854
(619) 878-2996
Mailing address
1720 ELLINCOURT DR, APT. 10, SOUTH PASADENA, CA 91030-2110
(760) 880-2854
(619) 878-2996
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
720477
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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