Healthcare Provider Details

I. General information

NPI: 1407485535
Provider Name (Legal Business Name): ROSEMARY PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date: 07/06/2026
Reactivation Date: 07/27/2026

III. Provider practice location address

1601 NEW STINE RD STE 255
BAKERSFIELD CA
93309-3787
US

IV. Provider business mailing address

2329 CULLEN CT APT A
BAKERSFIELD CA
93314-6586
US

V. Phone/Fax

Practice location:
  • Phone: 661-293-7821
  • Fax:
Mailing address:
  • Phone: 661-487-3961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number33801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: