Organization
JAVIER PERALES
Active
Other names
Javier Perales
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER PERALES (OWNER)
(657) 357-4037
Entity
Organization
Contact information
Practice address
218 W MAIN ST STE 202C, TUSTIN, CA 92780-7710
(657) 357-4037
Mailing address
PO BOX 1543, TUSTIN, CA 92781-1543
(657) 357-4037
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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