ANTONIO PEREZ CADCIII B0011040519 NPI 1811189483

NPI Information

NPI: 1811189483
Provider Name: ANTONIO PEREZ, CADCIII B0011040519
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1260 E ARROW HWY
UPLAND, CA
ZIP 91786
Phone: (909) 981-2171
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Antonio Perez, CADCIII B0011040519 is an addiction (substance use disorder) counselor in Upland, CA. Antonio Perez, CADCIII B0011040519 NPI is 1811189483. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1260 E ARROW HWY
UPLAND, CA
ZIP 91786-982
Phone: (909) 981-2171
Fax: (909) 981-2031

The enumeration date for this NPI number is 8/16/2007 and was last updated on 5/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	B0011040519	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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