Organization
INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL A BLACHARSKI M.D. (MD/OWNER)
(951) 679-0400
Entity
Organization
Contact information
Practice address
41900 WINCHESTER RD, SUITE 201, TEMECULA, CA 92590-3403
(951) 679-0400
(951) 672-6667
Mailing address
41900 WINCHESTER RD, SUITE 201, TEMECULA, CA 92590-3403
(951) 679-0400
(951) 672-6667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090220
—
CA
Enumeration date
09/20/2006
Last updated
10/06/2022
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