Provider Demographics
NPI:1528872181
Name:PEREZ-ERBE, JACQUELINE DANIELLE (IBCLC)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:DANIELLE
Last Name:PEREZ-ERBE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 GEARY ST.
Mailing Address - Street 2:STE 1500 #1196
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-5628
Mailing Address - Country:US
Mailing Address - Phone:626-824-0605
Mailing Address - Fax:
Practice Address - Street 1:166 GEARY ST.
Practice Address - Street 2:STE 1500 #1196
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-5628
Practice Address - Country:US
Practice Address - Phone:626-824-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-317165174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN