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NPI Code Detail

MEDICARE: BENZION ISA PEREZ

MEDICARE:   BENZION ISA PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist49919CA
2225400000XRehabilitation Practitioner
3106H00000XMarriage & Family TherapistLMFT49919CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17564AOTHERCATHE VILLAGE FAMILY SERVICES
27817AOTHERCACHILDREN'S INSTITIUTE, INC

General Provider Information

NPI Number : 1023137304
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENZION ISA PEREZ
Provider Business Mailing Address
First Line : 1830 S CENTRAL ST
Second Line :
City : VISALIA
State : CA
Zip : 93277-4418
Country : US
Telephone Number : 559-730-2969
Fax Number : 559-730-2991
Provider Business Practice Location Address
First Line : 5330 SAN BERNARDINO ST
Second Line :
City : MONTCLAIR
State : CA
Zip : 91763-2952
Country : US
Telephone Number : 626-425-6875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 11/23/2021

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Directions to “ BENZION ISA PEREZ ” Practice Location

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