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Organization
BLAINE ROBERT LEE, PSYCHIATRIC MENTAL HEALTH NURSING PRACTICE INC
Active
Organization
BLAINE ROBERT LEE, PSYCHIATRIC MENTAL HEALTH NURSING PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE ROBERT LEE PMHNP-BC (PRESIDENT / OWNER)
(714) 325-7110
Entity
Organization
Contact information
Practice address
431 W LAMBERT RD STE 310, BREA, CA 92821-3918
(714) 325-7110
(949) 346-4026
Mailing address
431 W LAMBERT RD STE 310, BREA, CA 92821-3918
(714) 325-7110
(949) 346-4026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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