Individual
ANTONIO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
Mailing address
3022 OLIVE ST, HUNTINGTON PARK, CA 90255-6412
(323) 588-2627
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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