Individual
JUSTIN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4560 ADMIRALTY WAY, MARINA DEL REY, CA 90292-5423
(813) 446-4867
Mailing address
13603 MARINA POINTE DR APT A518, MARINA DEL REY, CA 90292-5588
(813) 446-4867
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A167469
CA
Other
Enumeration date
04/21/2014
Last updated
09/25/2020
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