Provider Demographics
NPI:1033460423
Name:RICHARD PERLA PHD AND ASSOCIATES
Entity Type:Organization
Organization Name:RICHARD PERLA PHD AND ASSOCIATES
Other - Org Name:NEW DIRECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PERLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-943-6000
Mailing Address - Street 1:11530 LA MIRADA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1162
Mailing Address - Country:US
Mailing Address - Phone:562-943-6000
Mailing Address - Fax:
Practice Address - Street 1:11530 LA MIRADA BLVD
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1662
Practice Address - Country:US
Practice Address - Phone:562-943-6000
Practice Address - Fax:562-943-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health