NPI 1184934648

Luis a Perez MD INC

Organisation General Practice Physician Glendale, CA

Practice location

Address: 1220 S Central Ave STE 102, Glendale, CA 91204-3805
Phone: (818) 396-0074
Fax: (818) 396-0075

Authorised official

Name: Luis a Perez
Title: President/Ceo
Phone: (818) 396-0074

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A56266 (CA)

Other General Practice providers in California →

Registry record

NPI: 1184934648
Entity type: Organization
NPI issued: 18 Oct 2010
Record last updated: 18 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.