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NPI Code Detail

MEDICARE: MARISSA PEREZ

MEDICARE: MARISSA 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
2171M00000XCase Manager/Care Coordinator
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1427837335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA PEREZ
Provider Business Mailing Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 669-214-9185
Fax Number :
Provider Business Practice Location Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 669-214-9185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2023
Last Update Date : 06/15/2026

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Directions to “ MARISSA PEREZ ” Practice Location

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