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Individual

DR. JULIET L. BLEHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15025 INNOVATION DR, SAN DIEGO, CA 92128-3409
(858) 605-7966
Mailing address
FILE 54433, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A68780
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A687800
CA
01
370017095
RAILROAD MEDICARE
Enumeration date
09/02/2006
Last updated
06/25/2009
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