Individual
DR. FREDY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1509 SUNSET BL., LOS ANGELES, CA 90026
(213) 250-5768
(213) 250-5773
Mailing address
370 MAVIS DR, LOS ANGELES, CA 90065-5014
(323) 227-5490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06315 T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0063150
—
CA
Enumeration date
07/24/2006
Last updated
05/12/2008
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