| Perez Medical Group Inc | |
|
15115 Amar Rd La Puente CA 91744-1914 | |
| (626) 918-4700 | |
| (626) 918-1170 |
| Full Name | Perez Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15115 Amar Rd, La Puente, California |
| Authorized Official Name and Position | Bianca Leitel-zamorano (CORPORATE SECRETARY) |
| Authorized Official Contact | 6269184700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perez Medical Group Inc 15115 Amar Rd La Puente CA 91744-1914 Ph: (626) 918-4700 | Perez Medical Group Inc 15115 Amar Rd La Puente CA 91744-1914 Ph: (626) 918-4700 |
| NPI Number | 1891063442 |
|---|---|
| Provider Enumeration Date | 12/11/2011 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 8022258243 |
|---|---|
| Medicare Enrollment ID | O20130712000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891063442 | NPI | - | NPPES |
| 1891063442 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Antonio Zamorano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043482060 PECOS PAC ID: 3476748997 Enrollment ID: I20101110000721 |
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