Individual provider · Type 1 NPI

Jennifer Blank, MA

Student in an Organized Health Care Education/Training Program · Garden Grove, CA

NPI number 1750119798 Active

Practice location

12431 Lewis St Ste 102
Garden Grove, CA 92840-4653

Call (657) 452-6811 Map

Mailing address

401 Verano Rd
Irvine, CA 92617-3108

Specialties and licenses

TaxonomyCodeLicense
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 1750119798

Jennifer Blank, MA's National Provider Identifier is 1750119798, issued on Jul 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden Grove, CA. The record was last updated on Apr 9, 2026.