person
Emiro Blom
Peer Specialist in Gardena, California
NPI 1568122414

Emiro Blom is a Peer Specialist based in Gardena, CA. Emiro Blom practices in Gardena, CA. The NPI Number for Emiro Blom is 1568122414 and holds a License No. (California).

The current practice location address for Emiro Blom is 15519 Crenshaw Blvd, Gardena, CA and can be reached out via phone at 310-679-9126.

Location: 15519 Crenshaw Blvd, Gardena, CA, 90249-4597
person
Provider Profile Details
NPI Number
1568122414
Provider Name
Emiro Blom
Credential
Provider Entity Type
Individual
Gender
Male
Address
15519 Crenshaw Blvd, Gardena, CA, 90249-4597
Phone Number
310-679-9126
Fax Number
Provider Enumeration Date
12/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15519 Crenshaw Blvd
City
State
Zip
90249-4597
Phone Number
310-679-9126
Fax Number
person
Provider Business Mailing Address Details
Address
15519 Crenshaw Blvd
City
State
Zip
90249-4597
Phone Number
310-679-9126
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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