MEDICARE: OMARINA PERKINS

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1821599762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMARINA PERKINS

Provider Business Mailing Address
First Line	:	6235 RIVER CREST DR STE O
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0758
Country	:	US
Telephone Number	:	951-653-7561
Fax Number	:	951-653-7563

Provider Business Practice Location Address
First Line	:	6235 RIVER CREST DR STE O
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0758
Country	:	US
Telephone Number	:	951-653-7561
Fax Number	:	951-653-7563

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

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	05/25/2023

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Directions to “ OMARINA PERKINS ” Practice Location

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