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NPI Code Detail

MEDICARE: VICKY CELINA PEREZ BA

MEDICARE: VICKY CELINA PEREZ BA
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker119761CA
3106H00000XMarriage & Family Therapist119761CA

General Provider Information

NPI Number : 1821528001
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKY CELINA PEREZ BA
Provider Business Mailing Address
First Line : 3815 MING AVE # 238
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-5052
Country : US
Telephone Number : 661-868-8310
Fax Number :
Provider Business Practice Location Address
First Line : 3300 TRUXTUN AVE STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3123
Country : US
Telephone Number : 661-845-5100
Fax Number : 661-845-5106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 09/16/2021

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Directions to “ VICKY CELINA PEREZ BA” Practice Location

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