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General NPI Number Information
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NPI Number | 1205968237
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Entity Type | Organization
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Legal Business Name | PERLA G GASCON MD INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 E VALENCIA MESA DR SI JUDE MEDICAL CENTER LABOR AND DELIVERY ROOM
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City | FULLERTON
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State | CA
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Zip | 92835-3809
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Country | US
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Telephone | 714-992-3910
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Fax | 171-499-2301
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Provider Business Mailing Address
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Address Line | 18820 ROCHELLE AVE
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City | CERRITOS
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State | CA
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Zip | 90703-6013
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Country | US
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Telephone | 562-402-2557
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PERLA G GASCON
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Credential | MD
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Telephone | 562-402-2557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C040840
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License Number State | CA
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