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Search › California › 1041C0700X

Kyle Blake, LCSW

NPI 1720559107 · on the registry since 2018 · sole proprietor

Practice

Address
11500 Nimitz Ave
Los Angeles, CA 90049
Phone
(424) 832-8442
Organisation at this address
Department Of Veterans Affairs Of The State Of California
Department Of Veterans Affairs Of The State Of California
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 10918 Hesperia Rd, Hesperia, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California