Jaqueline Perez, is a
Specialist based in Lake Forest, California. Jaqueline Perez is licensed to practice in NU (license number ) and her current practice location is
22942 El Toro Rd, Lake Forest, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Jaqueline Perez is 1902457708 and her current mailing address is 22942 El Toro Rd, Lake Forest, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902457708.
Healthcare Provider's Profile
| Full Name | Jaqueline Perez |
|---|
| Gender | Female |
|---|
| Speciality | Specialist |
|---|
| Location | 22942 El Toro Rd, Lake Forest, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902457708
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 12/13/2024
Medical Identifiers
Medical identifiers for Jaqueline Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902457708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 174400000X | Specialist | (NU) | 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. Jaqueline 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 |
Jaqueline Perez, 22942 El Toro Rd, Lake Forest, CA 92630-4961 Ph: (510) 317-1444 | Jaqueline Perez, 22942 El Toro Rd, Lake Forest, CA 92630-4961 Ph: (510) 317-1444 |
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