Organization · NPI-2
Anthony Bledin M.D. INC
Clinical Medical Laboratory · Los Angeles, CA
NPI number1174809693
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1174809693
- Entity type
- Organization (NPI-2)
- Legal business name
- Anthony Bledin M.D. INC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2011
- Certification date
- Feb 8, 2021
- Last updated
- Feb 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | C42124 | CA | Yes |
Other names
- Sunset Diagnostic Radiology (Doing Business As)
Practice location
9201 Sunset Blvd.Suite M-150
Los Angeles, CA 90069-3701
Phone 310-288-0310 · Fax 310-288-0311
Mailing address
1851 Holser Walk Ste 220Oxnard, CA 93036-2626
Phone 805-988-1111 · Fax 805-988-0254
Authorized official
Anthony G Bledin
Radiologist
8059881111
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