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NPI Code Detail

MEDICARE: IMELDA PEREZ NAWARRA

MEDICARE: IMELDA PEREZ NAWARRA
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
1372600000XAdult Companion
2175T00000XPeer SpecialistD3742138CA

General Provider Information

NPI Number : 1629876305
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMELDA PEREZ NAWARRA
Provider Business Mailing Address
First Line : 8912 VOLUNTEER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8912 VOLUNTEER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3221
Country : US
Telephone Number : 916-344-0199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 04/22/2026

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Directions to “ IMELDA PEREZ NAWARRA ” Practice Location

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