Individual
TROY BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VETERAN AVE, LOS ANGELES, CA 90024-2703
(310) 825-6301
Mailing address
900 VETERAN AVE, LOS ANGELES, CA 90024-2703
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
VN133389
CA
Other
Enumeration date
06/25/2007
Last updated
07/01/2010
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