| Omar Perez Md Inc | |
|
10728 Ramona Blvd Suite A El Monte CA 91731-2601 | |
| (626) 442-9430 | |
| (626) 442-1563 |
| Full Name | Omar Perez Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10728 Ramona Blvd, El Monte, California |
| Authorized Official Name and Position | Omar Perez (PHYSICIAN) |
| Authorized Official Contact | 6264429430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Perez Md Inc 10728 Ramona Blvd Suite A El Monte CA 91731-2601 Ph: (626) 442-9430 | Omar Perez Md Inc 10728 Ramona Blvd Suite A El Monte CA 91731-2601 Ph: (626) 442-9430 |
| NPI Number | 1578816930 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Medicare PECOS PAC ID | 8820240690 |
|---|---|
| Medicare Enrollment ID | O20121203000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578816930 | NPI | - | NPPES |
| 00A309380 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A30938 (California) | Primary |
| Provider Name | Omar Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043393465 PECOS PAC ID: 6608828363 Enrollment ID: I20050210000938 |
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