Individual
CHRISTOPHER TIMOTHY PEREIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 726-6225
(661) 949-5191
Mailing address
615 W AVENUE L, LANCASTER, CA 93534-7211
(661) 723-6884
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
NP95012512
CA
Other
Enumeration date
12/03/2019
Last updated
12/21/2021
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