Individual
MR. EDGAR ISSAC PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
Mailing address
9064 LINDSEY AVE, DOWNEY, CA 90240-2420
(562) 286-4801
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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