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BLAKE SONG
NPI 1114660891
Student in an Organized Health Care Education/Training Program in Costa Mesa, CA

Active since April 19, 2022
940 S COAST DR STE 225, COSTA MESA, CA 92626(949) 743-1457 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Song NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE SONG (NPI 1114660891) is an individual student in an organized health care education/training program in Costa Mesa, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1114660891
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE SONG
Location Address940 S COAST DR STE 225Costa Mesa, CA 92626-7757
Mailing Address4711 W 166th StLawndale, CA 90260-2828 · (623) 225-9277
Phone(949) 743-1457
Sole ProprietorYes
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1114660891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
940 S COAST DR STE 225, Costa Mesa, CA 92626
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREYSON MYLES WALBRINK
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
EMILY ZHOU
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
MCKENZIE SALAIZ
Psychologist
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (626) 966-1577
AMANDA FEIGIN
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (845) 271-9007
KAYLA MARIE PEREZ
Student in an Organized Health Care Education/Training Program
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
MARY ANN ARMANIOUS
Psychologist
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
MS. KAYLA A QUEEN
Psychologist (Clinical Child & Adolescent)
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457
ELIZABETH BEVERLY HILL
Psychologist (Clinical)
940 S COAST DR STE 225
COSTA MESA, CA 92626
Orange County (949) 743-1457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Song's NPI number?

The NPI number for Blake Song is 1114660891. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Blake Song located?

Blake Song practices at 940 S Coast Dr Ste 225, Costa Mesa, CA 92626. The listed phone number is (949) 743-1457.

What is Blake Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Song was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.