Organization
ANNETTE A CORONEL-PEREY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE A. CORONEL-PEREY M.D. (PEDIATRICIAN)
(310) 532-5558
Entity
Organization
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 100, GARDENA, CA 90247-4128
(310) 532-5558
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 100, GARDENA, CA 90247-4128
(310) 532-5558
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A55253
CA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A552530
—
CA
Enumeration date
12/14/2011
Last updated
10/08/2024
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