MEDICARE: JOCELYN ARACELY PERAZA PHARMD

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	90474	CA

General Provider Information

NPI Number	:	1083580484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN ARACELY PERAZA PHARMD

Provider Business Mailing Address
First Line	:	11525 WALCROFT ST
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1261
Country	:	US
Telephone Number	:	323-627-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	11525 WALCROFT ST
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1261
Country	:	US
Telephone Number	:	323-627-3911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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