Individual provider · Type 1 NPI

Nicklaus Blake Perry, MS

Student in an Organized Health Care Education/Training Program · Beverly Hills, CA

NPI number 1558048967 Active

Practice location

9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 90210-4236

Call (833) 953-7400 Map

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558048967

Nicklaus Blake Perry, MS's National Provider Identifier is 1558048967, issued on Jun 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beverly Hills, CA. The record was last updated on Aug 6, 2025.