Mylene G Perez

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN715419 Issued in CA

Practice address

4544 San Fernando Rd Ste 102
Glendale, CA 91204-5017

Phone

(818) 240-8843

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1881286953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 SAN FERNANDO RD STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912045017",
            "telephone_number": "818-240-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 SAN FERNANDO RD STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912045017",
            "telephone_number": "818-240-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MYLENE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN715419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Perez
• Leonid Karl Perez, M.D.
• Leslie America Perez
• Liliana Guadalupe Perez, LCSW
• Maria Cristina Perez
• Perfect Harmony Hospice Care, Inc.
• Perfectus Hospice Inc
• Eleonida P. Perido
• Susan Kathleen Perkins
• Dinah Georgianna Perley

• Licensed Vocational Nurse in Glendale, CA
• Providers in Glendale, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.