Blesa, Enrique Sergio
Blesa, Enrique Sergio is an individual health care provider with primary practice located at 289 W Huntington Dr Suite 401, Arcadia CA 91007-3495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Blesa, Enrique Sergio can be contacted via phone (626) 254-0074.Contact Information
Primary practice address
289 W Huntington Dr Suite 401
Arcadia CA 91007-3495
Phone: (626) 254-0074
Fax: (626) 254-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A31529 | California |
Profile Details
| NPI number | 1497705099 |
|---|---|
| LBN Legal business name | Blesa, Enrique Sergio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 26th, 2020 - about 6 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 | 1497705099 | NPPES |
| California | MEDICAID | 00A315290 | |
| California | Other | WA31529J |
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