Healthcare Provider Details

I. General information

NPI: 1114308400
Provider Name (Legal Business Name): FRANCIS ALVIN PEREZ S.L.P.A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N LAKE AVE STE 120
PASADENA CA
91101-4108
US

IV. Provider business mailing address

301 N LAKE AVE STE 120
PASADENA CA
91101-4108
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-1003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSPA 2800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: