Perez, Larissa Guadalupe

Perez, Larissa Guadalupe is an individual health care provider with primary practice located at 14129 Bucher Ave , Sylmar CA 91342-1442. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Perez, Larissa Guadalupe can be contacted via phone (818) 290-5308.

Contact Information

Primary practice address
14129 Bucher Ave Sylmar CA 91342-1442
Phone: (818) 290-5308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X APCC17336 California
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1093406662
LBN Legal business name Perez, Larissa Guadalupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2023
Last updated Sep 18th, 2024 - about 2 years ago

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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