Healthcare Provider Details

I. General information

NPI: 1497538508
Provider Name (Legal Business Name): FRANCISCO JAVIER PEREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 MISSION ST STE 604
SAN FRANCISCO CA
94103-2473
US

IV. Provider business mailing address

1038 POST ST
SAN FRANCISCO CA
94109-5603
US

V. Phone/Fax

Practice location:
  • Phone: 415-474-7310
  • Fax: 415-673-2488
Mailing address:
  • Phone: 415-775-2636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18471
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: