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NPI Code Detail

MEDICARE: MRS. ALEJANDRA PEREZ

MEDICARE: MRS. ALEJANDRA 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
1103T00000XPsychologist

General Provider Information

NPI Number : 1184807943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEJANDRA PEREZ
Provider Business Mailing Address
First Line : 4060 WATSON PLAZA DR
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-4033
Country : US
Telephone Number : 562-420-6325
Fax Number :
Provider Business Practice Location Address
First Line : 4060 WATSON PLAZA DR
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-4033
Country : US
Telephone Number : 562-420-6325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2007
Last Update Date : 10/21/2013

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Directions to “ MRS. ALEJANDRA PEREZ ” Practice Location

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