MEDICARE: SANDRA L PEREZ MD

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
1	208000000X	Pediatrics Physician	G62676	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972954063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDRA L PEREZ MD

Provider Business Mailing Address
First Line	:	502 EUCLID AVE STE 202
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2985
Country	:	US
Telephone Number	:	619-267-1022
Fax Number	:	619-267-5680

Provider Business Practice Location Address
First Line	:	502 EUCLID AVE STE 202
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2985
Country	:	US
Telephone Number	:	619-267-1022
Fax Number	:	619-267-5680

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MR. JUAN GALLEGOS
Credential	:
Telephone Number	:	619-267-1022

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	06/29/2016

Similar Medicare Providers

1770439788 — ROOARK MENTAL HEALTH & WELLNESS A PHYSICIAN ASSISTANT CORPORATION
Practice Location Address:

502 EUCLID AVE STE 202
NATIONAL CITY, CA
91950-2985

Practice Phone: 707-684-0740
Practice Fax:

1841343548 — DR. MATTHEW JOAQUIN DI FRANCO M.D.
Practice Location Address:

502 EUCLID AVE STE 202
NATIONAL CITY, CA
91950-2985

Practice Phone: 619-267-1022
Practice Fax: 619-267-5680

1013915685 — SURGERY CENTER OF DODGE CITY, LLC
Practice Location Address:

2203 SUMMERLON CIR
DODGE CITY, KS
67801-2985

Practice Phone: 620-408-9454
Practice Fax: 620-408-9552

1891740361 — KANSAS CITY VA CLINIC
Practice Location Address:

2201 SUMMERLON CIR
DODGE CITY, KS
67801-2985

Practice Phone: 913-578-4409
Practice Fax:

1881611713 — ANESTHESIA CRITICAL CARE NURSING,PA
Practice Location Address:

2203 SUMMERLON CIR
DODGE CITY, KS
67801-2985

Practice Phone: 620-408-9454
Practice Fax: 620-408-9552

1922136605 — DR. DANIEL TREVOR SPEARS D.D.S.
Practice Location Address:

1151 SW 30TH ST , SUITE A
PALM CITY, FL
34990-2985

Practice Phone: 772-286-7663
Practice Fax:

Directions to “SANDRA L PEREZ MD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.