| Jose A. Perez, Md, Inc | |
|
5161 Pomona Blvd Ste 111 Los Angeles CA 90022-1756 | |
| (323) 604-0260 | |
| Not Available |
| Full Name | Jose A. Perez, Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5161 Pomona Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jose A. Perez (PRESIDENT) |
| Authorized Official Contact | 3236040260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A. Perez, Md, Inc 5161 Pomona Blvd Ste 111 Los Angeles CA 90022-1756 Ph: (323) 604-0260 | Jose A. Perez, Md, Inc 5161 Pomona Blvd Ste 111 Los Angeles CA 90022-1756 Ph: (323) 604-0260 |
| NPI Number | 1174682025 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174682025 | NPI | - | NPPES |
| 00A209570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A20957 (California) | Primary |
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