Individual
BLAKE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18401 BURBANK BLVD STE 215, TARZANA, CA 91356-6611
(888) 552-6188
Mailing address
5219 E OCEAN BLVD APT 8, LONG BEACH, CA 90803-6912
(214) 803-8030
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
CA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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