Individual
ANGELICA M PERALEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA51406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
GRP PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER
CA
Enumeration date
01/27/2014
Last updated
12/30/2021
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