Organization
FREDY PEREZ OD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDY PEREZ O.D. (PRESIDENT)
(213) 250-5768
Entity
Organization
Contact information
Practice address
1509 W SUNSET BLVD, LOS ANGELES, CA 90026-3319
(213) 250-5768
(213) 250-5773
Mailing address
1509 W SUNSET BLVD, LOS ANGELES, CA 90026-3319
(213) 250-5768
(213) 250-5773
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6315T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0063150
—
CA
Enumeration date
07/21/2007
Last updated
05/07/2008
Update your record
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