MEDICARE: MICHAEL RAE PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374K00000X	Religious Nonmedical Practitioner		CA

General Provider Information

NPI Number	:	1598457780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RAE PEREZ

Provider Business Mailing Address
First Line	:	6288 GOLDEN TRAILS AVE
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-9109
Country	:	US
Telephone Number	:	909-916-0593
Fax Number	:	909-542-3176

Provider Business Practice Location Address
First Line	:	350 S MILLIKEN AVE STE L
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91761-7846
Country	:	US
Telephone Number	:	909-916-0593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2023
Last Update Date	:	05/24/2023

Similar Medicare Providers

1407575814 — 888 HBREAL ESTATE INVESTMENTS CORP
Practice Location Address:

350 S MILLIKEN AVE STE L
ONTARIO, CA
91761-7846

Practice Phone: 949-529-6627
Practice Fax: 909-899-8214

1962103127 — ANDREW LYNN TIGNOR-GRILE MINISTRY
Practice Location Address:

777 STANTON BLVD # 10612992
ONTARIO, OR
97914-8335

Practice Phone: 971-264-0314
Practice Fax:

1851474183 — ALLISON DELANEY PT, BCC
Practice Location Address:

4600 EDMUNDSON RD
SAINT LOUIS, MO
63134-3806

Practice Phone: 314-733-6801
Practice Fax:

1881735728 — LISA PONCE M.D.
Practice Location Address:

1035 PLACER ST
REDDING, CA
96001

Practice Phone: 530-246-5710
Practice Fax: 530-244-7846

1871436998 — OLIVIA ISAAC-CLARK
Practice Location Address:

1500 S HAVEN AVE STE 240
ONTARIO, CA
91761-2973

Practice Phone: 888-928-8860
Practice Fax: 909-774-0113

1770426801 — VANESSA HERNANDEZ
Practice Location Address:

1500 S HAVEN AVE STE 240
ONTARIO, CA
91761-2973

Practice Phone: 888-928-8860
Practice Fax: 909-774-0113

Directions to “ MICHAEL RAE PEREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.