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NPI Code Detail

MEDICARE: PATTRIANA PERRY

MEDICARE:   PATTRIANA  PERRY
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 Worker122153CA

General Provider Information

NPI Number : 1720690472
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATTRIANA PERRY
Provider Business Mailing Address
First Line : 6331 LINDEN AVE APT 4
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-2373
Country : US
Telephone Number : 213-351-2817
Fax Number :
Provider Business Practice Location Address
First Line : 6331 LINDEN AVE APT 4
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-2373
Country : US
Telephone Number : 213-351-2817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2020
Last Update Date : 10/31/2025

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Directions to “ PATTRIANA PERRY ” Practice Location

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