Aguirre, Blossom Dawn Vencer

Aguirre, Blossom Dawn Vencer is an individual health care provider with primary practice located at 1316 3Rd Street Promenade Ste 201 , Santa Monica CA 90401-1382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aguirre, Blossom Dawn Vencer can be contacted via phone (800) 567-5544.

Contact Information

Primary practice address
1316 3Rd Street Promenade Ste 201 Santa Monica CA 90401-1382
Phone: (800) 567-5544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22589 California

Profile Details

NPI number 1235475005
LBN Legal business name Aguirre, Blossom Dawn Vencer
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2012
Last updated Mar 31st, 2015 - about 10 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.

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