Organization
LUIS A PEREZ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A PEREZ MD (PRESIDENT/CEO)
(818) 396-0074
Entity
Organization
Contact information
Practice address
1220 S CENTRAL AVE STE 102, GLENDALE, CA 91204-3805
(818) 396-0074
(818) 396-0075
Mailing address
1220 S CENTRAL AVE STE 102, GLENDALE, CA 91204-3805
(818) 396-0074
(818) 396-0075
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A56266
CA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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