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NPI Code Detail

MEDICARE: MR. JOSE L PEREZ M.D.

MEDICARE: MR. JOSE L PEREZ M.D.
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
1208D00000XGeneral Practice PhysicianA74744CA

General Provider Information

NPI Number : 1336290691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE L PEREZ M.D.
Provider Business Mailing Address
First Line : 4425 S CENTRAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-3629
Country : US
Telephone Number : 323-908-4200
Fax Number :
Provider Business Practice Location Address
First Line : 4425 S CENTRAL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-3629
Country : US
Telephone Number : 323-908-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 11/26/2024

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Directions to “ MR. JOSE L PEREZ M.D.” Practice Location

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