Individual
PERRY ROBERT SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3851 KATELLA AVE STE 150, LOS ALAMITOS, CA 90720-3353
(562) 314-1400
(562) 431-0564
Mailing address
3851 KATELLA AVE STE 150, LOS ALAMITOS, CA 90720-3353
(562) 314-1400
(562) 431-0564
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G48048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OOG480480
BLUE SHIELD PROVIDER #
CA
Enumeration date
03/07/2006
Last updated
05/07/2024
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