Ecstacy Peralta

NPI 1659774602 · on the registry since 2014

Practice

Address: 1212 W. 17th St
Santa Ana, CA 92706
Phone: (714) 954-0432
Fax: (714) 796-6265
Organisation at this address: Bristol Park Medical Group, Inc.
Memorialcare Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California