Individual provider · Type 1 NPI

Randy Blake, RN

Psychiatric/Mental Health Registered Nurse · Los Angeles, CA

NPI number 1881006674 Active

Practice location

550 S Vermont Ave Fl 10
Los Angeles, CA 90020-1912

Mailing address

735 N Neil St
West Covina, CA 91791-1120

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X563948 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1881006674

Randy Blake, RN's National Provider Identifier is 1881006674, issued on May 28, 2014. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 23, 2021.