Johnny Perez, is a
Student In An Organized Health Care Education/training Program based in Chatsworth, California. Johnny Perez is licensed to practice in California (license number ) and his current practice location is
20151 Nordhoff St, Chatsworth, California. He can be reached at his office (for appointments etc.) via phone at
(818) 407-3200.
NPI number for Johnny Perez is 1629595673 and his current mailing address is 19338 Welby Way, Reseda, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629595673.
Healthcare Provider's Profile
| Full Name | Johnny Perez |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 20151 Nordhoff St, Chatsworth, 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: 1629595673
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 09/21/2021
Medical Identifiers
Medical identifiers for Johnny Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629595673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 778-R (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C061540620 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | 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. Johnny Perez 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 |
|---|
Johnny Perez,
19338 Welby Way,
Reseda, CA 91335-4921
Ph: (562) 686-5866 | Johnny Perez,
20151 Nordhoff St,
Chatsworth, CA 91311-6215
Ph: (818) 407-3200 |
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