Organization
ACTIVE BODY SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET E PEREZ DC (DIRECTOR)
(818) 704-4754
Entity
Organization
Contact information
Practice address
18344 CLARK ST, SUITE 205, TARZANA, CA 91356-3505
(818) 704-4754
Mailing address
18344 CLARK ST, SUITE 205, TARZANA, CA 91356-3505
(818) 704-4754
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
17786DC
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598771719
NPI
—
01
—
17786
CA CHIROPRACTOR
CA
Enumeration date
06/02/2008
Last updated
06/02/2008
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