Provider Demographics
NPI:1740656271
Name:PEREZ, CAROL VICTORIA
Entity type:Individual
Prefix:MISS
First Name:CAROL
Middle Name:VICTORIA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11126 INEZ ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-3652
Mailing Address - Country:US
Mailing Address - Phone:562-319-5782
Mailing Address - Fax:
Practice Address - Street 1:10155 COLIMA ROAD
Practice Address - Street 2:THE WHOLE CHILD
Practice Address - City:WHITTER
Practice Address - State:CA
Practice Address - Zip Code:90603
Practice Address - Country:US
Practice Address - Phone:562-692-0383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker