Individual
DR. EMILY NICOLE OTHELLO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(562) 921-0341
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
A169842
CA
Other
Enumeration date
06/29/2011
Last updated
08/20/2020
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