IndividualActive
Adam Blank, DO
NPI 1710564919 · Adult Medicine Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1710564919
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 20A22291 (CA)
Practice location
35 Casa St Ste 170
San Luis Obispo, CA 93405-1887
Phone: (800) 763-7732
Mailing address
35 Casa St Ste 170
San Luis Obispo, CA 93405-1887
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2024-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.