# BLAINE ROBERT LEE, PSYCHIATRIC MENTAL HEALTH NURSING PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497626337
- **Authorized official:** BLAINE ROBERT LEE PMHNP-BC (PRESIDENT / OWNER)
- **Authorized official phone:** (714) 325-7110

## Contact information

- **Practice address:** 431 W LAMBERT RD STE 310, BREA, CA 92821-3918
- **Practice address phone:** (714) 325-7110
- **Practice address fax:** (949) 346-4026
- **Mailing address:** 431 W LAMBERT RD STE 310, BREA, CA 92821-3918
- **Mailing address phone:** (714) 325-7110
- **Mailing address fax:** (949) 346-4026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2025
- **Last updated:** 09/15/2025