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NPI Code Detail

MEDICARE: DR. MARGARITA PEREYDA M.D.

MEDICARE: DR. MARGARITA PEREYDA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA54750CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A54750OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1154476174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARITA PEREYDA M.D.
Provider Business Mailing Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-650-0186
Fax Number : 949-650-6976
Provider Business Practice Location Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-650-0186
Fax Number : 949-650-6976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 03/07/2023

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