| Perez Salehy Internal Medicine | |
|
1827 Los Feliz Dr Apt 108 Thousand Oaks CA 91362-5074 | |
| (901) 413-8891 | |
| Not Available |
| Full Name | Perez Salehy Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1827 Los Feliz Dr Apt 108, Thousand Oaks, California |
| Authorized Official Name and Position | Virginia Perez Andreu (OWNER) |
| Authorized Official Contact | 9014138891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perez Salehy Internal Medicine 2230 Lynn Rd Ste 330 Thousand Oaks CA 91360-1989 Ph: (805) 309-0525 | Perez Salehy Internal Medicine 1827 Los Feliz Dr Apt 108 Thousand Oaks CA 91362-5074 Ph: (901) 413-8891 |
| NPI Number | 1093478240 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 1557751260 |
|---|---|
| Medicare Enrollment ID | O20220219000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093478240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Virginia Perez Andreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710348628 PECOS PAC ID: 2567757206 Enrollment ID: I20200109001166 |
| Provider Name | Siamac Alexander Salehy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598152449 PECOS PAC ID: 0446545925 Enrollment ID: I20200109001971 |
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