Peralta, Ecstacy

Peralta, Ecstacy is an individual health care provider with primary practice located at 1212 W. 17Th St , Santa Ana CA 92706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peralta, Ecstacy can be contacted via phone (714) 954-0432.

Contact Information

Primary practice address
1212 W. 17Th St Santa Ana CA 92706
Phone: (714) 954-0432
Fax: (714) 796-6265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51945 California

Profile Details

NPI number 1659774602
LBN Legal business name Peralta, Ecstacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2014
Last updated Mar 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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