Individual
DR. ANNETTE A CORONEL PEREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1045 W REDONDO BEACH BLVD, STE 100, GARDENA, CA 90247-4128
(310) 532-5558
(310) 532-5445
Mailing address
1045 W REDONDO BEACH BLVD, STE 100, GARDENA, CA 90247-4128
(310) 532-5558
(310) 532-5445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A55253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A552530
—
CA
Enumeration date
09/05/2006
Last updated
11/08/2011
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