Healthcare Provider Details

I. General information

NPI: 1306789870
Provider Name (Legal Business Name): OLGA PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 VALE TERRACE DR
VISTA CA
92084-5213
US

IV. Provider business mailing address

945 VALE TERRACE DR
VISTA CA
92084-5213
US

V. Phone/Fax

Practice location:
  • Phone: 760-741-6072
  • Fax: 760-741-6072
Mailing address:
  • Phone: 760-741-6072
  • Fax: 760-741-6072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: