Eira Nenexy Perez, ATC
Specialist/Technologist, Athletic Trainer in Northridge, CA. Individual provider (NPI-1).
NPI number1982113882
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1982113882
- Entity type
- Individual (NPI-1)
- Name
- Eira Nenexy Perez
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2017
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000037890 | CA |
Practice location
18111 Nordhoff StNorthridge, CA 91330-0001
Phone 562-469-9127
Mailing address
5747 Roosevelt AveSouth Gate, CA 90280-7839
Phone 562-521-6485
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