Healthcare Provider Details

I. General information

NPI: 1366966137
Provider Name (Legal Business Name): TOREY JAMES PEREZ DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PETERS CANYON RD STE 120
IRVINE CA
92606-1748
US

IV. Provider business mailing address

1 PETERS CANYON RD STE 120
IRVINE CA
92606-1748
US

V. Phone/Fax

Practice location:
  • Phone: 949-679-3988
  • Fax: 949-679-7665
Mailing address:
  • Phone: 949-679-3988
  • Fax: 949-679-7665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT293290
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: