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Organization
SAN PEDRO PHYSICAL THERAPY
Active
Organization
SAN PEDRO PHYSICAL THERAPY
Active
Other names
MARK PEREZ, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PEREZ MD (SUPERVISOR)
(310) 547-2197
Entity
Organization
Contact information
Practice address
1366 W 7TH ST, SUITE 4-B, SAN PEDRO, CA 90732-3500
(310) 547-2197
(310) 547-9532
Mailing address
1366 W 7TH ST, SUITE 4-B, SAN PEDRO, CA 90732-3500
(310) 547-3331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17929
PHYSICAL THERAPY
CA
01
—
2838
PHYSICAL THERAPY
CA
01
—
G67514
MEDICAL BOARD
CA
Enumeration date
08/13/2008
Last updated
03/22/2011
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