Individual
JACQUELINE L PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1844 W 88TH ST, LOS ANGELES, CA 90047-3313
(310) 412-3221
Mailing address
11956 DARLINGTON AVE, LOS ANGELES, CA 90049-5638
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5222
CA
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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