Mr. Blake Edward Laszlo
Mr. Blake Edward Laszlo is a Peer Specialist in Riverside, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3125 Myers StRiverside, CA 92503-5527
Phone: (714) 943-6505
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (CA) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1003595752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
| Mailing address | 3125 Myers St, Riverside, CA 92503-5527 |
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