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NPI Code Detail

MEDICARE: MARIA JOSE PEREZ

MEDICARE: MARIA JOSE PEREZ
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 Nurse757205CA
2363L00000XNurse Practitioner1982133906CA

General Provider Information

NPI Number : 1982133906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JOSE PEREZ
Provider Business Mailing Address
First Line : 368 FELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-5144
Country : US
Telephone Number : 415-861-0828
Fax Number :
Provider Business Practice Location Address
First Line : 52 DORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-3828
Country : US
Telephone Number : 415-861-0828
Fax Number : 415-861-0140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 12/09/2025

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Directions to “ MARIA JOSE PEREZ ” Practice Location

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