Individual
DR. BLANCA S FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(818) 838-4587
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A87234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A872340
—
CA
01
—
P00234341
RAILROAD MEDICARE
CA
Enumeration date
08/31/2006
Last updated
12/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us