MEDICARE: THERESA M. PERRY RNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	RN225340	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1433	OTHER	CA	NURSE PRACTITIONER FURNISHING

General Provider Information

NPI Number	:	1104166719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA M. PERRY RNP

Provider Business Mailing Address
First Line	:	4204 CANYON CREST RD
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-3718
Country	:	US
Telephone Number	:	626-798-9557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3324 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-2118
Country	:	US
Telephone Number	:	323-660-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2013
Last Update Date	:	02/18/2013

Similar Medicare Providers

1386227189 — ANA MARIA CRUZ PA-C, M.S., MPAP
Practice Location Address:

3324 W SUNSET BLVD
LOS ANGELES, CA
90026-2118

Practice Phone: 323-660-2400
Practice Fax:

1679691810 — HOLLYWOOD SUNSET FREE CLINIC
Practice Location Address:

3324 W SUNSET BLVD
LOS ANGELES, CA
90026-2118

Practice Phone: 323-660-7959
Practice Fax: 323-663-6410

1962830687 — MS. CELIA MARIA GARZA-HALSTEAD FNP
Practice Location Address:

3324 W SUNSET BLVD
LOS ANGELES, CA
90026-2118

Practice Phone: 323-660-7959
Practice Fax: 323-660-1408

1366899742 — LEONOR HUDDLESTON NURSE PRACTITIONER
Practice Location Address:

3324 W SUNSET BLVD
LOS ANGELES, CA
90026-2118

Practice Phone: 323-660-2400
Practice Fax: 323-661-4375

1306909544 — DR. PAUL M ADLER D.O.
Practice Location Address:

611 ESTRELLITA WAY
LOS ANGELES, CA
90049-2118

Practice Phone: 917-974-8073
Practice Fax:

1124142872 — DR. LESLEY MAY KWAN O.D.
Practice Location Address:

11301 WILSHIRE BLVD , OPTOMETRY 123, RM 2118, BLDG 304
LOS ANGELES, CA
90073-1003

Practice Phone: 310-478-3711
Practice Fax: 310-268-4918

Directions to “ THERESA M. PERRY RNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.