Provider Demographics
NPI:1962051235
Name:NAVARRETTE, ARMANDO PEREZ JR (BA)
Entity type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:PEREZ
Last Name:NAVARRETTE
Suffix:JR
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N TUSTIN AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3879
Mailing Address - Country:US
Mailing Address - Phone:714-617-4886
Mailing Address - Fax:
Practice Address - Street 1:400 N TUSTIN AVE STE 120
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3879
Practice Address - Country:US
Practice Address - Phone:714-617-4886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2470A2800XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationAssistant Record Technician
No101Y00000XBehavioral Health & Social Service ProvidersCounselor