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Individual

BLAGOVEST G SHOPSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1935 ALPHA RD UNIT 232, GLENDALE, CA 91208-2139
(310) 666-3791
Mailing address
1935 ALPHA RD UNIT 232, GLENDALE, CA 91208-2139
(310) 666-3791

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031585
CA

Other

Enumeration date
12/18/2019
Last updated
01/10/2025
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