Organization
JORGE PEREZ MD LTD
Active
Other names
Sierra Nevada Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE PEREZ MD (PRESIDENT)
(775) 883-3336
Entity
Organization
Contact information
Practice address
1154 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6288
(775) 883-3336
(775) 883-3336
Mailing address
1801 W OLYMPIC BLVD # 1359, PASADENA, CA 91199-0001
(775) 883-3336
(775) 883-0877
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C52554
CA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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