NPI 1003595752
Blake Edward Laszlo
Practice location
- Address
- 3125 Myers St, Riverside, CA 92503-5527
- Phone
- (714) 943-6505
Registered specialties (2)
Peer Specialist
Primary
Community Health Worker
Registry record
- NPI
- 1003595752
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2023
- Record last updated
- 22 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.