Healthcare Provider Details

I. General information

NPI: 1871307330
Provider Name (Legal Business Name): ISABEL PERROUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SHAFFER RD BUILDING 1 SUITE 1A
SANTA CRUZ CA
95060
US

IV. Provider business mailing address

1201 SHAFFER RD BUILDING 1 SUITE 1A
SANTA CRUZ CA
95060
US

V. Phone/Fax

Practice location:
  • Phone: 831-420-0120
  • Fax:
Mailing address:
  • Phone: 831-420-0120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: