Blaylock, Cassandra
Blaylock, Cassandra is an sole proprietor health care provider with primary practice located at 1250 16Th St , Santa Monica CA 90404-1249. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Blaylock, Cassandra can be contacted via phone (424) 259-9457.Contact Information
Primary practice address
1250 16Th St
Santa Monica CA 90404-1249
Phone: (424) 259-9457
Fax: (424) 259-6823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 95003118 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95003118 | California |
Profile Details
| NPI number | 1588043400 |
|---|---|
| LBN Legal business name | Blaylock, Cassandra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2015 |
| Last updated | Oct 1st, 2025 - about last year |
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.
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