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NPI Code Detail

MEDICARE: GISELLE PEREZ-AGUILAR LCSW

MEDICARE: GISELLE PEREZ-AGUILAR LCSW
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
11041C0700XClinical Social Worker113755CA

General Provider Information

NPI Number : 1427544055
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISELLE PEREZ-AGUILAR LCSW
Provider Business Mailing Address
First Line : 1453 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-5648
Country : US
Telephone Number : 213-202-3970
Fax Number :
Provider Business Practice Location Address
First Line : 1453 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-5648
Country : US
Telephone Number : 213-202-3970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2018
Last Update Date : 01/13/2026

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Directions to “ GISELLE PEREZ-AGUILAR LCSW” Practice Location

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