Organization
JOSE IGNACIO PEREA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE PEREA (PRESIDENT)
(310) 207-2272
Entity
Organization
Contact information
Practice address
12300 WILSHIRE BLVD. STE#404, LOS ANGELES, CA 90025-0000
(310) 207-2272
(310) 207-2273
Mailing address
12300 WILSHIRE BLVD. STE# 404, LOS ANGELES, CA 90025
(310) 207-2272
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48537
CA
Other
Enumeration date
11/02/2009
Last updated
01/19/2018
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