Individual
SCOTT BLOCKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
7160 FOREST HILLS RD, WEST HILLS, CA 91307-1339
(818) 359-8079
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DCWNHL
CA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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