Obsidian Blackwolf
Obsidian Blackwolf is a Rehabilitation Practitioner in Huntington Park, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2677 Zoe Ave Ste 304Huntington Park, CA 90255-3699
Phone: (323) 346-0960
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1043010069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2025 |
| Last updated in NPPES | August 13, 2025 |
| Certification date | August 13, 2025 |
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2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 · (323) 346-0960