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Search › California › 163WP0808X

Randy Blake, RN

NPI 1881006674 · on the registry since 2014

Practice

Address
550 S Vermont Ave Fl 10
Los Angeles, CA 90020
Phone
(310) 217-7312
Organisation at this address
Genesis
Department Of Mental Health
Department Of Mental Health
Department Of Mental Health
La County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
377

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-23

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