Individual
AGUSTIN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 47TH AVE STE 111, SACRAMENTO, CA 95824-3923
(916) 318-0141
Mailing address
4600 47TH AVE STE 111, SACRAMENTO, CA 95824-3923
(916) 318-0141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW134974
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
10/25/2023
Last updated
11/25/2025
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