MEDICARE: KARIN 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist	140013	CA

General Provider Information

NPI Number	:	1659896975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN PEREZ

Provider Business Mailing Address
First Line	:	1701 ZONAL AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-1065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 ZONAL AVENUE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033
Country	:	US
Telephone Number	:	323-223-6298
Fax Number	:

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

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	06/09/2026

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Directions to “ KARIN PEREZ ” Practice Location

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