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Search › California › 363A00000X

Justin Blackmon

NPI 1699182832 · on the registry since 2014

Practice

Address
9888 Genesee Ave
La Jolla, CA 92037
Phone
(858) 626-4123
Organisation at this address
Scripps Health
Scripps Health
Scripps Health
Imad S. Dandan, M.D.
Compassion Breast Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
100

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363AM0700X
Licence states on file
DC, IL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California