Individual
JAYLEN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
46630 VARGAS RD, INDIO, CA 92201-6142
(760) 238-0145
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
MPSS-YCSLKB
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/20/2026
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