Mario Perez
Counselor in Hawthorne, CA. Individual provider (NPI-1).
NPI number1861702375
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1861702375
- Entity type
- Individual (NPI-1)
- Name
- Mario Perez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2010
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 3039-R | CA | Yes |
Practice location
2501 W El Segundo BlvdHawthorne, CA 90250-3317
Phone 323-754-2816 · Fax 323-754-2816
Mailing address
2501 W El Segundo BlvdHawthorne, CA 90250-3317
Phone 323-754-2816 · Fax 323-754-2828
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