Individual
EDGAR LUIS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALIFORNIA CENTER FOR NEUROINTERVENTIONAL SURGERY, 11999 SORRENTO VALLEY ROAD, SUITE 203, SAN DIEGO, CA 92121
(714) 856-5472
Mailing address
11120 E OCEAN AIR DR # 101-25, SAN DIEGO, CA 92130-4683
(773) 428-3402
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A173150
CA
2085R0202X
Diagnostic Radiology Physician
A173150
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2016
Last updated
06/10/2025
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