Individual
DR. PAUL A BLACHARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29798 HAUN RD, SUITE 200, MENIFEE, CA 92586-6541
(951) 679-0400
(951) 672-6667
Mailing address
41900 WINCHESTER RD, SUITE 201, TEMECULA, CA 92590-3403
(951) 679-0400
(951) 672-6667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G44451
CA
207W00000X
Ophthalmology Physician
G44451
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G44451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G444510
—
CA
Enumeration date
09/20/2006
Last updated
11/09/2023
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