Healthcare Provider Details

I. General information

NPI: 1801683529
Provider Name (Legal Business Name): ELVIRA PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 MISTRAL PL UNIT B
OXNARD CA
93035-1210
US

IV. Provider business mailing address

2033 MISTRAL PL UNIT B
OXNARD CA
93035-1210
US

V. Phone/Fax

Practice location:
  • Phone: 408-616-9431
  • Fax:
Mailing address:
  • Phone: 408-616-9431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: