Healthcare Provider Details

I. General information

NPI: 1891679635
Provider Name (Legal Business Name): ADRIANA PERAZA-GARCIA PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9009 PARK PLAZA DR
LA MESA CA
91942-3400
US

IV. Provider business mailing address

9009 PARK PLAZA DR
LA MESA CA
91942-3400
US

V. Phone/Fax

Practice location:
  • Phone: 619-565-5895
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: