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Contact Information

BLAKE SANDERS
18401 BURBANK BLVD STE 215
TARZANA, CA91356-6611
 Phone: 888-552-6188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for BLAKE SANDERS · (Male)

NPI Number 1710816582
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2026
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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