Individual
DR. ISMAEL PEREZ MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 887-1140
Mailing address
1680 STRONSAY CT, FOLSOM, CA 95630-6224
(916) 501-1472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C7-0004180
DE
2085R0202X
Diagnostic Radiology Physician
MT 184060
PA
2085R0204X
Vascular & Interventional Radiology Physician
2013030321
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A117180
CA
Other
Enumeration date
04/13/2009
Last updated
05/29/2025
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