Brian Bledsoe
Case Manager/Care Coordinator in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124158050
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124158050
- Entity type
- Individual (NPI-1)
- Name
- Brian Bledsoe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2160 W Adams BlvdLos Angeles, CA 90018-2039
Phone 323-432-5185
Mailing address
8621 S 8th AveInglewood, CA 90305-2425
Phone 323-753-3027
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