Blacharski, Paul A
Blacharski, Paul A is an individual health care provider with primary practice located at 29798 Haun Rd Suite 200, Menifee CA 92586-6541. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Blacharski, Paul A can be contacted via phone (951) 679-0400.Contact Information
Primary practice address
29798 Haun Rd Suite 200
Menifee CA 92586-6541
Phone: (951) 679-0400
Fax: (951) 672-6667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G44451 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G44451 | California |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | G44451 | California |
Profile Details
| NPI number | 1215034335 |
|---|---|
| LBN Legal business name | Blacharski, Paul A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215034335 | NPPES |
| California | MEDICAID | 00G444510 |
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