IndividualActive
Brent Blair, MA
NPI 1003933979 · Contractor · Los Angeles, CA
Provider details
- NPI number
- 1003933979
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1200 Wilshire Blvd Ste 500
Los Angeles, CA 90017-1934
Phone: (213) 481-7464
Approximate (ZIP-level) locationGet directions
Mailing address
643 Grant St Apt F
Santa Monica, CA 90405-1248
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.