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NPI Code Detail

MEDICARE: BRENDA S PEREZ

MEDICARE: BRENDA S 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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1184227886
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA S PEREZ
Provider Business Mailing Address
First Line : PO BOX 22210
Second Line :
City : OAKLAND
State : CA
Zip : 94623-2210
Country : US
Telephone Number : 510-535-8400
Fax Number : 510-535-8484
Provider Business Practice Location Address
First Line : 1415 FRUITVALE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2320
Country : US
Telephone Number : 510-535-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 05/05/2026

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Directions to “ BRENDA S PEREZ ” Practice Location

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