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NPI Code Detail

MEDICARE: ERIN PERREIRA

MEDICARE: ERIN PERREIRA
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
1167G00000XLicensed Psychiatric Technician35576CA

General Provider Information

NPI Number : 1881229391
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN PERREIRA
Provider Business Mailing Address
First Line : 24454 VALENCIA BLVD APT 9108
Second Line :
City : VALENCIA
State : CA
Zip : 91355-1840
Country : US
Telephone Number : 818-468-2536
Fax Number :
Provider Business Practice Location Address
First Line : 5335 CRANER AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3313
Country : US
Telephone Number : 818-927-4045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2020
Last Update Date : 11/10/2021

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Directions to “ ERIN PERREIRA ” Practice Location

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