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General NPI Number Information
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NPI Number | 1215060397
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Entity Type | Organization
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Legal Business Name | PERRIS MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1688 NORTH PERRIS BLVDE. SUITE L-7 TO L-11
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City | PERRIS
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State | CA
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Zip | 92571
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Country | US
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Telephone | 951-443-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 8607 MORNINGLIGHT CIR
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City | RIVERSIDE
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State | CA
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Zip | 92508-3104
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Country | US
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Telephone | 951-653-2900
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MR. IVAN JOSEPH BATCHKOFF
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Credential | REGISTERED NURSE
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Telephone | 951-443-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | N349190
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | N349190
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License Number State | CA
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