Nicholas Blakely, PA-C
NPI #1275345753 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1275345753
- Entity Type
- Individual
- Name
- Nicholas Blakely, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 22, 2025
- Last Updated
- May 25, 2025
Practice Location
- Address
- 30230 RANCHO VIEJO RD STE 200
- State
- California
- ZIP Code
- 92675-1585
- Phone
- (949) 443-4303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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