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NPI Code Detail

MEDICARE: JOSUE PEREIRA

MEDICARE:   JOSUE  PEREIRA
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
1163W00000XRegistered Nurse95044668CA

General Provider Information

NPI Number : 1114778149
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSUE PEREIRA
Provider Business Mailing Address
First Line : 27622 DAYTON AVE
Second Line :
City : SAN PEDRO
State : CA
Zip : 90732-4676
Country : US
Telephone Number : 562-445-9712
Fax Number :
Provider Business Practice Location Address
First Line : 27622 DAYTON AVE
Second Line :
City : SAN PEDRO
State : CA
Zip : 90732-4676
Country : US
Telephone Number : 562-445-9712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 03/28/2024

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Directions to “ JOSUE PEREIRA ” Practice Location

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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.