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Organization
SOL MED SPA
Active
Organization
SOL MED SPA
Active
Other names
P.A.Z. Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS JESUS PEREZ M.D. (PRESIDENT)
(951) 735-1712
Entity
Organization
Contact information
Practice address
716 E MISSION BLVD, STE. D, POMONA, CA 91766-7203
(909) 865-2332
(909) 868-7129
Mailing address
720 MAGNOLIA AVE, STE. B-1, CORONA, CA 92879-3119
(951) 735-1712
(951) 735-1094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G72538
CA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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