Basic Information
| Provider Information | |||||||||
| NPI: | 1922351618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PELAYO | ||||||||
| FirstName: | PERLA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1201 N CALIFORNIA ST | ||||||||
| Address2: | #38 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928675000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6266746707 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2000 TYLER AVE | ||||||||
| Address2: | |||||||||
| City: | SOUTH EL MONTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917333543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264421400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2012 | ||||||||
| LastUpdateDate: | 10/18/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | ASW 26458 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.