Provider Demographics
NPI:1154136851
Name:PEREZ, JOEL JR (A-CFHC, NBC-HWC)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:PEREZ
Suffix:JR
Gender:M
Credentials:A-CFHC, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 N WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-4605
Mailing Address - Country:US
Mailing Address - Phone:626-820-3546
Mailing Address - Fax:
Practice Address - Street 1:2802 N WHITE AVE
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-4605
Practice Address - Country:US
Practice Address - Phone:626-820-3546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach