Individual
DR. ASTA E. BLOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Mailing address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2023-00224
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
A43145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A43145
CA LICENSE
CA
Enumeration date
06/23/2006
Last updated
12/13/2023
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