Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenda Irene Lopez Blake

Individual provider Physician Assistant · NPI 1679213037

Brenda Irene Lopez Blake is a Physician Assistant in Anaheim, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1182 N Euclid St
Anaheim, CA 92801-1900
Phone: (714) 441-0411
Fax: (714) 441-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 — (714) 449-7400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62055 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679213037
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2022
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

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