Individual
CARLOS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 278-1103
Mailing address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 278-1103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
03/27/2019
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