Provider Demographics
NPI:1801372107
Name:PEREZ, HECTOR MISAEL JR
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:MISAEL
Last Name:PEREZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43517 SAHUAYO ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-5005
Mailing Address - Country:US
Mailing Address - Phone:661-274-0770
Mailing Address - Fax:
Practice Address - Street 1:43517 SAHUAYO ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-5005
Practice Address - Country:US
Practice Address - Phone:661-674-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator