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NPI Code Detail

MEDICARE: DR. LEROY R. PERRY JR. D.C.

MEDICARE: DR. LEROY R. PERRY JR. D.C.
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
1111N00000XChiropractorDC10911CA

General Provider Information

NPI Number : 1215050901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEROY R. PERRY JR. D.C.
Provider Business Mailing Address
First Line : 3283 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3709
Country : US
Telephone Number : 310-559-6900
Fax Number : 310-836-8664
Provider Business Practice Location Address
First Line : 3283 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3709
Country : US
Telephone Number : 310-559-6900
Fax Number : 310-836-8664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 10/26/2012

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