SearchCalifornia246ZS0410X

Blayne Vidrine

NPI 1760147656 · on the registry since 2021

Practice

Address
9850 Genesee Ave Ste 210
La Jolla, CA 92037
Phone
(858) 535-1075
Fax
(858) 452-3283
Organisation at this address
Ximed Ipa
Mashay Inc
Twg Medical Cas
Diana Ng Md Inc
Nisha Bunke, Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
301

Registry record

Primary taxonomy
246ZS0410X
246ZS0410X
Sex
Male
Record last updated
2021-11-04

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