| Luis A Perez Md Inc | |
|
1220 S Central Ave Ste 102 Glendale CA 91204-3805 | |
| (818) 396-0074 | |
| (818) 396-0075 |
| Full Name | Luis A Perez Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 1220 S Central Ave Ste 102, Glendale, California |
| Authorized Official Name and Position | Luis A Perez (PRESIDENT/CEO) |
| Authorized Official Contact | 8183960074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis A Perez Md Inc 1220 S Central Ave Ste 102 Glendale CA 91204-3805 Ph: (818) 396-0074 | Luis A Perez Md Inc 1220 S Central Ave Ste 102 Glendale CA 91204-3805 Ph: (818) 396-0074 |
| NPI Number | 1184934648 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184934648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A56266 (California) | Primary |
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