Organization
BLANCO FAMILY MEDICINE INC.
Active
Other names
Blanco Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA BLANCO PA-C (SECRETARY)
(626) 915-3000
Entity
Organization
Contact information
Practice address
380 W BADILLO ST, COVINA, CA 91723-1827
(626) 915-3000
(626) 915-3004
Mailing address
380 W BADILLO ST, COVINA, CA 91723-1827
(626) 915-3000
(626) 915-3004
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A0751476
CA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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