Healthcare Provider Details

I. General information

NPI: 1609163864
Provider Name (Legal Business Name): ANGELICA MARIA PEREZ PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 E. WHITTIER BLVD T-0189
COMMERCE CA
90022-4106
US

IV. Provider business mailing address

5600 E. WHITTIER BLVD T-0189
COMMERCE CA
90022-4106
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-7861
  • Fax: 323-725-7861
Mailing address:
  • Phone: 323-725-7861
  • Fax: 323-725-7861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60573
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: