Individual
MR. CALVIN JOHN BLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
207 S SANTA ANITA ST, SUITE G-16, SAN GABRIEL, CA 91776-1146
(626) 300-5300
Mailing address
1720 ELLINCOURT DR, 10, SOUTH PASADENA, CA 91030-2110
(760) 880-2854
(619) 878-2996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000604
CA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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