Organization
ANGEL G PEREZ
Active
Other names
SHALOM MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL G PEREZ MD (OWNER)
(310) 835-1414
Entity
Organization
Contact information
Practice address
1721 N WILMINGTON BLVD, WILMINGTON, CA 90744-1261
(310) 835-1414
(310) 835-4050
Mailing address
1721 N WILMINGTON BLVD, WILMINGTON, CA 90744-1261
(310) 835-1414
(310) 835-4050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G79348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G793480
—
CA
Enumeration date
05/14/2007
Last updated
06/18/2008
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