Provider Demographics
NPI:1962081844
Name:GARCIA PEREZ, YINET
Entity type:Individual
Prefix:
First Name:YINET
Middle Name:
Last Name:GARCIA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12347 BEVERLY BLVD APT C
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3034
Mailing Address - Country:US
Mailing Address - Phone:951-599-9163
Mailing Address - Fax:
Practice Address - Street 1:12347 BEVERLY BLVD APT C
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3034
Practice Address - Country:US
Practice Address - Phone:951-599-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician