| Javier Perales | |
|
218 W Main St Ste 202c Tustin CA 92780-7710 | |
| (657) 357-4037 | |
| Not Available |
| Full Name | Javier Perales |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 218 W Main St Ste 202c, Tustin, California |
| Authorized Official Name and Position | Javier Perales (OWNER) |
| Authorized Official Contact | 6573574037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Perales Po Box 1543 Tustin CA 92781-1543 Ph: (657) 357-4037 | Javier Perales 218 W Main St Ste 202c Tustin CA 92780-7710 Ph: (657) 357-4037 |
| NPI Number | 1518703776 |
|---|---|
| Provider Enumeration Date | 07/06/2024 |
| Last Update Date | 07/06/2024 |
| Certification Date | 07/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518703776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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