Basic Information
| Provider Information | |||||||||
| NPI: | 1881229391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PERREIRA | ||||||||
| FirstName: | ERIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24454 VALENCIA BLVD APT 9108 | ||||||||
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| City: | VALENCIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913551840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8184682536 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5335 CRANER AVE | ||||||||
| Address2: | |||||||||
| City: | NORTH HOLLYWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 916013313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189274045 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2020 | ||||||||
| LastUpdateDate: | 11/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 167G00000X | 35576 | CA | Y | Nursing Service Providers | Licensed Psychiatric Technician |
No ID Information.