Individual
DR. ANGEL GUILLEN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
1721 N WILMINGTON BLVD, WILMINGTON, CA 90744-1261
(310) 835-1414
(310) 835-4050
Mailing address
1459 W TOSCANINI DR, RANCHO PALOS VERDES, CA 90275-1808
(310) 521-1865
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
09/25/2006
Last updated
01/14/2008
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