DR. MARVYN IVAN PEREZ


Address: 7732 Jellico Ave, Northridge, CA 91325-4510
Phone: 8182771880

DR. MARVYN IVAN PEREZ (NPI# 1891012886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891012886
Entity Type Individual
Full Name DR. MARVYN IVAN PEREZ
Practice Address 7732 Jellico Ave
Northridge
CA 91325-4510
Practice Telephone 8182771880
Mailing Telephone 8182771880
Enumeration Date 2010-04-29
Last Update Date 2015-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program CA Student, Health Care

Office Location

Street Address 7732 JELLICO AVE
City NORTHRIDGE
State CA
Zip Code 91325-4510

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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871151563 Saba Hajimollaali Kandi Student in an Organized Health Care Education/Training Program 10339 Zelzah Ave Apt 22, Northridge, CA 91326-3540 2019-05-29
1063078376 Ozlem Alper Student in an Organized Health Care Education/Training Program 18497 Dearborn St, Unit 112, Northridge, CA 91325 2019-05-13
1437505344 Amy Chesnut Student in an Organized Health Care Education/Training Program 18165 Andrea Cir N, #3, Northridge, CA 91325-1166 2016-05-10
1184033359 Ute Anderson Student in an Organized Health Care Education/Training Program 19850 Nordhoff Street, Northridge, CA 91324 2014-08-12
1841624723 Abril Jimenez Student in an Organized Health Care Education/Training Program 17950 Lassen St, Northridge, CA 91325-4850 2013-08-27
1053919613 Child and Family Guidance Center Student in an Organized Health Care Education/Training Program 9650 Zelzah Ave., Northridge, CA 91325-2003 2020-10-15
1265030506 Sebat Yousef Student in an Organized Health Care Education/Training Program 9650 Zelzah Ave, Northridge, CA 91325-2003 2020-10-09
1194332908 Natalie Castaneda Student in an Organized Health Care Education/Training Program 9650 Zelzah Ave, Northridge, CA 91325-2003 2020-09-25
1366058208 Nancy Pacheco Student in an Organized Health Care Education/Training Program 9650 Zelzah Ave, Northridge, CA 91325-2003 2020-09-16
1811502164 Darlene Olmedo Student in an Organized Health Care Education/Training Program 9650 Zelzah Ave, Northridge, CA 91325-2003 2020-09-14
Find all providers in NORTHRIDGE

Competitor

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City NORTHRIDGE
Zip Code 91325

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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