Individual
DR. BLESSEN CHACKO EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 420, LOS ANGELES, CA 90095-1339
(310) 206-6232
(917) 660-7942
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101246756
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C153716
CA
390200000X
Student in an Organized Health Care Education/Training Program
0101246756
VA
Other
Enumeration date
02/10/2010
Last updated
05/01/2023
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