Mr Jose L Perez, MD | |
4425 S Central Ave, Los Angeles, CA 90011-3629 | |
(323) 908-4200 | |
Not Available |
Full Name | Mr Jose L Perez |
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Gender | Male |
Speciality | General Practice |
Location | 4425 S Central Ave, 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 |
---|---|---|---|
1336290691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A74744 (California) | Primary |
Entity Name | South Central Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669799896 PECOS PAC ID: 5597675041 Enrollment ID: O20240621003215 |
Mailing Address | Practice Location Address |
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Mr Jose L Perez, MD 4425 S Central Ave, Los Angeles, CA 90011-3629 Ph: (323) 908-4200 | Mr Jose L Perez, MD 4425 S Central Ave, Los Angeles, CA 90011-3629 Ph: (323) 908-4200 |
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