Provider Demographics
NPI:1699489435
Name:ARIAS PEREZ, CARMEN LUISA (FNP-C)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:LUISA
Last Name:ARIAS PEREZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 S LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-3817
Mailing Address - Country:US
Mailing Address - Phone:310-392-8636
Mailing Address - Fax:310-943-3521
Practice Address - Street 1:1091 S LA BREA AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3817
Practice Address - Country:US
Practice Address - Phone:310-392-8636
Practice Address - Fax:310-943-3521
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily