Individual
RYAN ANTHONY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 680-8095
Mailing address
8420 MINUET PL, PANORAMA CITY, CA 91402-3831
(818) 645-3423
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95016218
CA
Other
Enumeration date
01/15/2021
Last updated
09/20/2023
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