NPI 1003864802

Kent Alan Blade, MD

Practitioner Ophthalmology Physician San Diego, CA

Practice location

Address: 34800 Bob Wilson Dr, San Diego, CA 92134-1098
Phone: (619) 532-6702
Fax: (619) 532-7272
Mailing address: 5979 Seacrest View Rd, San Diego, CA 92121-4355

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD 417456 (PA)

Other Ophthalmology providers in California →

Registry record

NPI: 1003864802
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 8 Jul 2007

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.