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NPI Code Detail

MEDICARE: VICTORIA ALLISSA PEREZ PA-C

MEDICARE: VICTORIA ALLISSA PEREZ PA-C
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
1363A00000XPhysician AssistantPA63403CA

General Provider Information

NPI Number : 1649050444
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ALLISSA PEREZ PA-C
Provider Business Mailing Address
First Line : 1934 ABBIE WAY
Second Line :
City : UPLAND
State : CA
Zip : 91784-1507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 36485 INLAND VALLEY DR
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-9681
Country : US
Telephone Number : 951-677-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2023
Last Update Date : 03/10/2026

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Directions to “ VICTORIA ALLISSA PEREZ PA-C” Practice Location

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