Healthcare Provider Details

I. General information

NPI: 1508093055
Provider Name (Legal Business Name): PEREZ & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4084 BRIDGE ST STE 1
FAIR OAKS CA
95628-7171
US

IV. Provider business mailing address

6041 HOLETON RD
CARMICHAEL CA
95608-3324
US

V. Phone/Fax

Practice location:
  • Phone: 916-768-0259
  • Fax:
Mailing address:
  • Phone: 323-440-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARITA PEREZ
Title or Position: PRESIDENT
Credential: L.M.F.T.
Phone: 323-440-4800