MEDICARE: MS. WEI PEREZ RN

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	163W00000X	Registered Nurse	803383	CA

General Provider Information

NPI Number	:	1699054221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WEI PEREZ RN

Provider Business Mailing Address
First Line	:	2563 GOLD HILL ST
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-6067
Country	:	US
Telephone Number	:	916-835-9617
Fax Number	:

Provider Business Practice Location Address
First Line	:	2563 GOLD HILL ST
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-6067
Country	:	US
Telephone Number	:	916-835-9617
Fax Number	:

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

Provider Enumeration Date	:	08/13/2011
Last Update Date	:	07/25/2019

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