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Organization
JOSE A. PEREZ, MD, INC
Active
Organization
JOSE A. PEREZ, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A. PEREZ MD (PRESIDENT)
(323) 604-0260
Entity
Organization
Contact information
Practice address
5161 POMONA BLVD, STE 111, LOS ANGELES, CA 90022-1756
(323) 604-0260
Mailing address
5161 POMONA BLVD, STE 111, LOS ANGELES, CA 90022-1756
(323) 604-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A20957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A209570
—
CA
Enumeration date
12/06/2006
Last updated
07/27/2007
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