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
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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