Organization
PEREZ MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BIANCA LEITEL-ZAMORANO (CORPORATE SECRETARY)
(626) 918-4700
Entity
Organization
Contact information
Practice address
15115 AMAR RD, LA PUENTE, CA 91744-1914
(626) 918-4700
(626) 918-1170
Mailing address
15115 AMAR RD, LA PUENTE, CA 91744-1914
(626) 918-4700
(626) 918-1170
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891063442
—
CA
Enumeration date
12/11/2011
Last updated
01/26/2023
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