Blacharski, Paul A

Blacharski, Paul A is an individual health care provider with primary practice located at 29798 Haun Rd Suite 200, Menifee CA 92586-6541. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Blacharski, Paul A can be contacted via phone (951) 679-0400.

Contact Information

Primary practice address
29798 Haun Rd Suite 200 Menifee CA 92586-6541
Phone: (951) 679-0400
Fax: (951) 672-6667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G44451 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G44451 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X G44451 California

Profile Details

NPI number 1215034335
LBN Legal business name Blacharski, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 9th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215034335 NPPES
California MEDICAID 00G444510

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