Individual
DR. ENRIQUE SERGIO BLESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 W HUNTINGTON DR, SUITE 401, ARCADIA, CA 91007-3495
(626) 254-0074
(626) 254-0079
Mailing address
3452 E FOOTHILL BLVD, STE 130, PASADENA, CA 91107-6006
(626) 793-2885
(626) 793-6262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A31529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A315290
—
CA
01
—
WA31529J
MEDICARE PTAN
CA
Enumeration date
05/12/2006
Last updated
02/26/2020
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