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NPI Code Detail

MEDICARE: ALICIA PEREZ VARELA AGPCNP

MEDICARE: ALICIA PEREZ VARELA AGPCNP
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
1363LG0600XGerontology Nurse Practitioner2025041449CA

General Provider Information

NPI Number : 1104788553
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA PEREZ VARELA AGPCNP
Provider Business Mailing Address
First Line : 101 E VALENCIA MESA DR
Second Line :
City : FULLERTON
State : CA
Zip : 92835-3809
Country : US
Telephone Number : 714-992-3000
Fax Number :
Provider Business Practice Location Address
First Line : 101 E VALENCIA MESA DR
Second Line :
City : FULLERTON
State : CA
Zip : 92835-3809
Country : US
Telephone Number : 714-992-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2025
Last Update Date : 12/16/2025

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Directions to “ ALICIA PEREZ VARELA AGPCNP” Practice Location

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