MEDICARE: LAURA PEREZ-FLOREZ LMFT

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	106H00000X	Marriage & Family Therapist	LMFT162442	CA

General Provider Information

NPI Number	:	1265131395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA PEREZ-FLOREZ LMFT

Provider Business Mailing Address
First Line	:	5550 GROSVENOR BLVD APT 323
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-7318
Country	:	US
Telephone Number	:	310-486-1657
Fax Number	:

Provider Business Practice Location Address
First Line	:	5550 GROSVENOR BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-6999
Country	:	US
Telephone Number	:	310-486-1657
Fax Number	:

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

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	06/10/2026

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