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General NPI Number Information
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NPI Number | 1942253273
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Entity Type | Organization
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Legal Business Name | PEREZ SURGICAL MEDICAL GROUP
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1510 S CENTRAL AVE #200
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City | GLENDALE
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State | CA
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Zip | 91204-2500
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Country | US
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Telephone | 818-500-9973
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Fax | 818-500-1204
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Provider Business Mailing Address
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Address Line | 1510 S CENTRAL AVE #200
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City | GLENDALE
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State | CA
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Zip | 91204-2500
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Country | US
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Telephone | 818-500-9973
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Fax | 818-500-1204
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARIO PEREZ
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Credential | M.D.
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Telephone | 818-500-9973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N/A
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | N/A
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License Number State | CA
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