MEDICARE: KEVIN BENJAMIN PEREZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor	CA
2	103K00000X	Behavior Analyst
3	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1184132615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN BENJAMIN PEREZ

Provider Business Mailing Address
First Line	:	20695 S WESTERN AVE STE 132
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-1834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20695 S WESTERN AVE STE 132
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-1834
Country	:	US
Telephone Number	:	562-864-3722
Fax Number	:

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

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	05/16/2025

Similar Medicare Providers

1710495924 — MEGAN ELIZABETH CUFF
Practice Location Address:

20695 S WESTERN AVE STE 132
TORRANCE, CA
90501-1834

Practice Phone: 424-271-7414
Practice Fax:

1649475716 — MS. TIARA ALISE BARLEY CDC
Practice Location Address:

1834 PLAZA DEL AMO APT 4
TORRANCE, CA
90501-4533

Practice Phone: 323-387-2536
Practice Fax:

1912104647 — SEUNG WON HONG MA
Practice Location Address:

20695 S WESTERN AVE STE 132
TORRANCE, CA
90501-1834

Practice Phone: 424-271-7414
Practice Fax:

1548771736 — USA BIOSCIENCES LLC
Practice Location Address:

20695 S WESTERN AVE STE 112
TORRANCE, CA
90501-1834

Practice Phone: 310-755-7530
Practice Fax:

1144708678 — BERTA ISOBELE TRASOVAN
Practice Location Address:

20695 S WESTERN AVE STE 132
TORRANCE, CA
90501-1834

Practice Phone: 424-271-7414
Practice Fax:

1407406325 — BRIGITTE FONG
Practice Location Address:

20695 S WESTERN AVE STE 132
TORRANCE, CA
90501-1834

Practice Phone: 424-271-7414
Practice Fax:

Directions to “ KEVIN BENJAMIN PEREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.