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Organization
JOHN M. PERIC MD INC
Active
Organization
JOHN M. PERIC MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARIO PERIC MD (MD, OWNER)
(818) 570-0542
Entity
Organization
Contact information
Practice address
2701 W ALAMEDA AVE, SUITE 403, BURBANK, CA 91505-4402
(818) 570-0542
(818) 558-1156
Mailing address
11333 MOORPARK ST, #188, STUDIO CITY, CA 91602-2618
(818) 570-0542
(818) 558-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79419
LICENSE
CA
Enumeration date
08/08/2011
Last updated
08/08/2011
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