Whalio Doctors

NPI 1003595752

Blake Edward Laszlo

Practitioner Peer Specialist Riverside, CA

Practice location

Address
3125 Myers St, Riverside, CA 92503-5527
Phone
(714) 943-6505

Registered specialties (2)

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X
Community Health Worker
Other Service Providers Taxonomy 172V00000X

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.