Individual
MYRZA R PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A96172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96172
MEDICAL LICENSE
CA
Enumeration date
08/12/2006
Last updated
12/15/2021
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