Ms Kassandra Lazara Perez, MA is a
Student In An Organized Health Care Education/training Program based in Orange, California. Ms Kassandra Lazara Perez is licensed to practice in * (Not Available) (license number ) and her current practice location is
1201 W La Veta Ave, Orange, California. She can be reached at her office (for appointments etc.) via phone at
(714) 509-8481.
NPI number for Ms Kassandra Lazara Perez is 1235810052 and her current mailing address is 250 S G St, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235810052.
Healthcare Provider's Profile
| Full Name | Ms Kassandra Lazara Perez |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1201 W La Veta Ave, Orange, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235810052
- Provider Enumeration Date: 07/25/2023
- Last Update Date: 07/24/2025
Medical Identifiers
Medical identifiers for Ms Kassandra Lazara Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235810052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ms Kassandra Lazara 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 |
|---|
Ms Kassandra Lazara Perez, MA
250 S G St,
San Bernardino, CA 92410-3320
Ph: () - | Ms Kassandra Lazara Perez, MA
1201 W La Veta Ave,
Orange, CA 92868-4203
Ph: (714) 509-8481 |
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