CASSANDRA BLAYLOCK

SANTA MONICA, CA
NPI1588043400
Former NameCASSANDRA YAMAGUCHI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA  95003118)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95003118)
Enumeration Date2015-05-26
Last Update Date2025-10-01
Business Address
Mrs. CASSANDRA BLAYLOCK NP
1250 16TH ST
SANTA MONICA, CA 90404-1249
Phone number: 424-259-9457
Mailing Address
Mrs. CASSANDRA BLAYLOCK NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: