Blake, Randy
Blake, Randy is an individual health care provider with primary practice located at 550 S Vermont Ave Fl 10 , Los Angeles CA 90020-1912. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Blake, Randy can be contacted via phone (310) 217-7312.Contact Information
Primary practice address
550 S Vermont Ave Fl 10
Los Angeles CA 90020-1912
Phone: (310) 217-7312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 563948 | California |
Profile Details
| NPI number | 1881006674 |
|---|---|
| LBN Legal business name | Blake, Randy |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2014 |
| Last updated | Mar 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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