Individual
MR. ANDY PAUL PERRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
29187 FLOWERPARK DR, CANYON COUNTRY, CA 91387-4406
(661) 236-7836
Mailing address
29187 FLOWERPARK DR, CANYON COUNTRY, CA 91387-4406
(661) 236-7836
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AT1120
CA
Other
Enumeration date
05/23/2009
Last updated
05/23/2009
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