Healthcare Provider Details

I. General information

NPI: 1215060397
Provider Name (Legal Business Name): PERRIS MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 NORTH PERRIS BLVDE. SUITE L-7 TO L-11
PERRIS CA
92571
US

IV. Provider business mailing address

8607 MORNINGLIGHT CIR
RIVERSIDE CA
92508-3104
US

V. Phone/Fax

Practice location:
  • Phone: 951-443-2200
  • Fax:
Mailing address:
  • Phone: 951-653-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberN349190
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberN349190
License Number StateCA

VIII. Authorized Official

Name: MR. IVAN JOSEPH BATCHKOFF
Title or Position: RN
Credential: REGISTERED NURSE
Phone: 951-443-2200