Healthcare Provider Details

I. General information

NPI: 1790023703
Provider Name (Legal Business Name): MS. ALMA ANGELICA PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 BALFOUR ST
WHITTIER CA
90606-1705
US

IV. Provider business mailing address

10820 BALFOUR ST
WHITTIER CA
90606-1705
US

V. Phone/Fax

Practice location:
  • Phone: 562-884-2659
  • Fax:
Mailing address:
  • Phone: 562-884-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-12-12052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: