Dwayne Perry Persley, is a
Case Manager/care Coordinator based in Los Angeles, California. Dwayne Perry Persley is licensed to practice in * (Not Available) (license number ) and his current practice location is
3335 Folsom St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(626) 361-0832.
NPI number for Dwayne Perry Persley is 1790343960 and his current mailing address is 3335 Folsom St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790343960.
Healthcare Provider's Profile
| Full Name | Dwayne Perry Persley |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 3335 Folsom St, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790343960
- Provider Enumeration Date: 06/03/2019
- Last Update Date: 02/12/2021
Medical Identifiers
Medical identifiers for Dwayne Perry Persley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790343960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R105101214 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dwayne Perry Persley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dwayne Perry Persley,
3335 Folsom St,
Los Angeles, CA 90063-2117
Ph: (626) 361-0832 | Dwayne Perry Persley,
3335 Folsom St,
Los Angeles, CA 90063-2117
Ph: (626) 361-0832 |
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