Organization · NPI-2

Anthony Bledin M.D. INC

Clinical Medical Laboratory · Los Angeles, CA

NPI number1982381075
StatusActive
Last updated in NPPESFeb 19, 2024

Details

NPI
1982381075
Entity type
Organization (NPI-2)
Legal business name
Anthony Bledin M.D. INC
Organization subpart
No
Enumeration date
Jun 29, 2023
Certification date
Feb 19, 2024
Last updated
Feb 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Other names

  • Western Diagnostic Radiology INC. (Doing Business As)

Practice location

4500 Beverly Blvd
Los Angeles, CA 90004-2702

Phone 213-468-5350 · Fax 213-468-5351

Mailing address

1851 Holser Walk Ste 220
Oxnard, CA 93036-2626

Phone 805-988-1111

Authorized official

Anthony G Bledin
Radiologist
8059881111

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