Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1053430116 |
---|---|
Provider Name | Mrs. Feliza Perez |
First Address | Huntington Park, CA 90065 |
Second Address | Huntington Park, CA 90065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 18/12/2019 |