| Mark Perez Md | |
|
1366 W 7th St Suite 4-b San Pedro CA 90732-3500 | |
| (310) 547-2197 | |
| Not Available |
| Full Name | Mark Perez Md |
|---|---|
| Speciality | Clinic/center |
| Location | 1366 W 7th St, San Pedro, California |
| Authorized Official Name and Position | Maria E Baez (CEO) |
| Authorized Official Contact | 3105472197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Perez Md 1366 W. 7th St Suite 4-b San Pedro CA 90732-3500 Ph: (310) 547-2197 | Mark Perez Md 1366 W 7th St Suite 4-b San Pedro CA 90732-3500 Ph: (310) 547-2197 |
| NPI Number | 1255639522 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255639522 | NPI | - | NPPES |
| G67514 | Other | CA | MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G67514 (California) | Secondary |
| 261Q00000X | Clinic/center | G067514 (California) | Primary |
| 363A00000X | Physician Assistant | PA21347 (California) | Secondary |
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