| Mark Anthony Perez, | |
|
335 E Lake Ave, Watsonville, CA 95076-4826 | |
| (831) 728-6445 | |
| (831) 761-6011 |
| Full Name | Mark Anthony Perez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 335 E Lake Ave, Watsonville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497019558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 1041C0700X | Social Worker - Clinical | 91261 (California) | Secondary |
| Entity Name | County of Monterey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467584805 PECOS PAC ID: 2466345632 Enrollment ID: O20040913001243 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Anthony Perez, 335 E Lake Ave, Watsonville, CA 95076-4826 Ph: (831) 728-6445 | Mark Anthony Perez, 335 E Lake Ave, Watsonville, CA 95076-4826 Ph: (831) 728-6445 |
Roberto Zamora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Whiskey Hill Rd, Watsonville, CA 95076 Phone: 831-840-2259 |
Michael Gong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6445 Fax: 831-761-6011 |
Kristine Hansen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6445 |
Lizbeth Tapia Cerriteno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2716 Freedom Blvd, Watsonville, CA 95076 Phone: 831-688-6293 |
Richard Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Whiskey Hill Rd, Watsonville, CA 95076 Phone: 831-724-9333 |
Edgar Ivan Alcaraz, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 294 Green Valley Rd, Watsonville, CA 95076 Phone: 831-786-2390 |
Mr. Fernando De Anda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Freedom Blvd Ste F, Watsonville, CA 95076 Phone: 831-763-8200 |