Healthcare Provider Details

I. General information

NPI: 1053441287
Provider Name (Legal Business Name): LILIAM PEREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 02/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 NATIVIDAD RD RM 200
SALINAS CA
93906-3122
US

IV. Provider business mailing address

201 GLENWOOD CIR APT 27D
MONTEREY CA
93940-6707
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4510
  • Fax:
Mailing address:
  • Phone: 646-552-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA87095
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberA87095
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: