Romeo-paolo Perfecto, | |
11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | |
(310) 478-3711 | |
Not Available |
Full Name | Romeo-paolo Perfecto |
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Gender | Male |
Speciality | Chiropractor |
Location | 11301 Wilshire Blvd, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013586601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC36108 (California) | Primary |
Provider Name | Southern California University Of Health Sciences |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881764322 PECOS PAC ID: 9537073945 Enrollment ID: O20031118000970 |
Mailing Address | Practice Location Address |
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Romeo-paolo Perfecto, 1525 Sawtelle Blvd Apt 7, Los Angeles, CA 90025-3240 Ph: (714) 475-4350 | Romeo-paolo Perfecto, 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 Ph: (310) 478-3711 |
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