| Blaine Robert Lee, PMHNP-BC | |
|
431 W Lambert Rd Ste 310, Brea, CA 92821-3918 | |
| (714) 325-7110 | |
| (949) 346-4026 |
| Full Name | Blaine Robert Lee |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 431 W Lambert Rd Ste 310, Brea, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467226373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95027984 (California) | Primary |
| Entity Name | Blaine Robert Lee Psychiatric Mental Health Nursing Practice Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497626337 PECOS PAC ID: 8628568565 Enrollment ID: O20251107003304 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Robert Lee, PMHNP-BC 2375 E Imperial Hwy # 1137, Brea, CA 92821-6112 Ph: Not Available | Blaine Robert Lee, PMHNP-BC 431 W Lambert Rd Ste 310, Brea, CA 92821-3918 Ph: (714) 325-7110 |
Renee Pham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6000 |
Norma Isela Vega, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Brea Blvd Apt 47, Brea, CA 92821 Phone: 714-612-3589 |
Barbara Lynn Niklas, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-671-0766 |
Cody James Nugent, DNP, PMHNP - BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3350 E Birch St Ste 206, Brea, CA 92821 Phone: 562-431-8822 Fax: 562-431-8875 |
Jae Woo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 |
Rio Marie A. Calvert, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 E Birch St Ste 350, Brea, CA 92821 Phone: 949-933-4943 |
Sarah Grabarsky, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 E Imperial Hwy C123, Brea, CA 92821 Phone: 714-862-7792 |