MEDICARE: CARMEN 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	174H00000X	Health Educator		CA

General Provider Information

NPI Number	:	1881066611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN PEREZ

Provider Business Mailing Address
First Line	:	450 E SAN JACINTO AVE
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-2833
Country	:	US
Telephone Number	:	951-210-1750
Fax Number	:	951-210-1760

Provider Business Practice Location Address
First Line	:	450 E SAN JACINTO AVE
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-2833
Country	:	US
Telephone Number	:	951-210-1750
Fax Number	:	951-210-1760

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

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	05/05/2026

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Directions to “ CARMEN PEREZ ” Practice Location

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