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Brenda Irene Lopez Blake
Student in an Organized Health Care Education/Training Program in Anaheim, California
NPI 1679213037

Brenda Irene Lopez Blake is a Student in an Organized Health Care Education/Training Program based in Anaheim, CA. Brenda Irene Lopez Blake practices in Anaheim, CA. The NPI Number for Brenda Irene Lopez Blake is 1679213037 and holds a License No. 62055 (California).

The current practice location address for Brenda Irene Lopez Blake is 1182 N Euclid St, Anaheim, CA and can be reached out via phone at 714-441-0411 and via fax at 714-441-1824.

Location: 1182 N Euclid St, Anaheim, CA, 92805-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679213037
Provider Name
Brenda Irene Lopez Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1182 N Euclid St, Anaheim, CA, 92805-3429
Phone Number
714-441-0411
Fax Number
714-441-1824
Provider Enumeration Date
03/31/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1182 N Euclid St
City
Anaheim
State
California
Zip
92801-1900
Phone Number
714-441-0411
Fax Number
714-441-1824
person
Provider Business Mailing Address Details
Address
1182 N Euclid St
City
Anaheim
State
California
Zip
92801-1900
Phone Number
714-441-0411
Fax Number
714-441-1824
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
62055 (California)
Definition
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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