Provider Demographics
NPI:1023829686
Name:PEREZ-ORDAZ, LILIANA (PPS)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:PEREZ-ORDAZ
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13990 CASTROVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95012-9749
Mailing Address - Country:US
Mailing Address - Phone:831-633-5221
Mailing Address - Fax:
Practice Address - Street 1:13990 CASTROVILLE BLVD
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95012-9749
Practice Address - Country:US
Practice Address - Phone:831-633-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool