Provider Demographics
NPI:1457576738
Name:PERLA, RICHARD JOSEPH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOSEPH
Last Name:PERLA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12287 LA MIRADA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1338
Mailing Address - Country:US
Mailing Address - Phone:562-944-3735
Mailing Address - Fax:562-944-5573
Practice Address - Street 1:12287 LA MIRADA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1338
Practice Address - Country:US
Practice Address - Phone:562-944-3735
Practice Address - Fax:562-944-5573
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist