Provider Demographics
NPI:1144053380
Name:PEREZ, KARLA (BSN, CNOR, RNFA)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31086 BONSAI CIR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8713
Mailing Address - Country:US
Mailing Address - Phone:951-816-5920
Mailing Address - Fax:
Practice Address - Street 1:31086 BONSAI CIR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8713
Practice Address - Country:US
Practice Address - Phone:951-816-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95226934163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACEP11471OtherRNFA PROGRAM THROUGH THE NATIONAL INSTITUTE OF FIRST ASSISTING