Individual
CAMERON PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 FLORIDA AVE STE 102, MODESTO, CA 95350-4446
(209) 573-6147
Mailing address
439 W M ST, BENICIA, CA 94510-2709
(707) 654-5342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3090
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3090
PTL
CA
Enumeration date
04/10/2023
Last updated
08/14/2023
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