Provider Demographics
NPI:1508514233
Name:PERFECT PRESCRIPTION MEDICAL SERVICES PC
Entity type:Organization
Organization Name:PERFECT PRESCRIPTION MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, PMHNP, FNP
Authorized Official - Prefix:
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-568-1700
Mailing Address - Street 1:200 W WILSON AVE UNIT 2107
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1886
Mailing Address - Country:US
Mailing Address - Phone:469-835-1800
Mailing Address - Fax:
Practice Address - Street 1:401 N BRAND BLVD STE 834
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4451
Practice Address - Country:US
Practice Address - Phone:323-568-1800
Practice Address - Fax:323-568-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty