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NPI Code Detail

MEDICARE: JOSHUA PERAZA

MEDICARE:   JOSHUA  PERAZA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1285516856
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA PERAZA
Provider Business Mailing Address
First Line : 930 QUIET HARBOR LN
Second Line :
City : CORONA
State : CA
Zip : 92881-8441
Country : US
Telephone Number : 951-316-0244
Fax Number :
Provider Business Practice Location Address
First Line : 1500 CAMINO DEL SOL
Second Line :
City : OXNARD
State : CA
Zip : 93030-3725
Country : US
Telephone Number : 805-278-0781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2025
Last Update Date : 03/25/2026

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Directions to “ JOSHUA PERAZA ” Practice Location

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