Individual
ANGELICA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1730 SEPULVEDA BLVD STE 1, TORRANCE, CA 90501-6901
(310) 341-7022
Mailing address
1878 SAN FRANCISCO AVE, LONG BEACH, CA 90806-5247
(310) 213-4567
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
85533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85533
—
CA
Enumeration date
02/14/2018
Last updated
02/14/2018
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