MODESTO ANTHONY PEREZ
NPI 1427286913
Counselor - Mental Health in Blythe, CA
Active since June 23, 2009
About Modesto Anthony Perez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODESTO ANTHONY PEREZ (NPI 1427286913) is an individual mental health provider in Blythe, California and active in the NPI registry since June 2009.
NPPES Registry Identity
NPI1427286913
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMODESTO ANTHONY PEREZ
Location Address1297 W HOBSONWAYBlythe, CA 92225-1423
Mailing Address17858 Pallowalla RdBlythe, CA 92225-2344 · (760) 922-0109
Phone(760) 921-5000
Sole ProprietorNo
Enumeration DateJune 23, 2009
✔ NPI 1427286913 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1297 W HOBSONWAY, Blythe, CA 92225
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
1297 W HOBSONWAY
BLYTHE, CA 92225
BLYTHE, CA 92225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427286913, enumerated as an "individual" on June 23, 2009.
The provider is located at 1297 W HOBSONWAY BLYTHE, CA 92225 and the phone number is (760) 921-5000.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.