Individual
ELMO BLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11045 BIGELOW CIR, CERRITOS, CA 90703-6422
(714) 723-4865
Mailing address
11045 BIGELOW CIR, CERRITOS, CA 90703-6422
(714) 723-4865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3080
CA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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