Organization · Type 2 NPI
Calvin J. Blasco
Clinic/Center · South Pasadena, CA
NPI number
1154877587
Active
Practice location
1720 Ellincourt Dr, Apt. 10
South Pasadena, CA 91030-2110
Fax (619) 878-2996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 720477 (CA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in South Pasadena
About NPI 1154877587
Calvin J. Blasco's National Provider Identifier is 1154877587, issued on Aug 26, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in South Pasadena, CA. The record was last updated on Aug 26, 2016.