Most Relevant Information
Provider Data
| NPI Number: | 1003540618 |
| Provider Name: | PERLA RENTERIA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2022 |
| Last Updated: | 07/11/2022 |
Provider Practice Location
9920 PACIFIC HEIGHTS BLVD
SUITE 150
SAN DIEGO
CA
921214396
Practice Location Phone/Fax
| Phone: | 3039898169 |
| Fax: |
Provider Mailing Location
9920 PACIFIC HEIGHTS BLVD
SUITE 150
SAN DIEGO
CA
921214396
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |