Individual
MR. RAFAEL PEREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2446 TRIDENT WAY, SAN DIEGO, CA 92155-5494
(619) 437-0777
Mailing address
3950 LELAND ST, SAN DIEGO, CA 92106-1043
(618) 895-0888
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1027620
GA
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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