Individual
IZAAC ALEXANDER PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 CORPORATE DR, LADERA RANCH, CA 92694-2125
(949) 280-7236
Mailing address
1701 CORPORATE DR, LADERA RANCH, CA 92694-2125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6839
CA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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