NPI 1306408117

David Perez Corpin

Practitioner Driver San Bernardino, CA

Practice location

Address: 3358 Ribwort Rd, San Bernardino, CA 92407-8940
Phone: (909) 800-7906
Mailing address: 1224 Riviera Dr, Calimesa, CA 92320-1091

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D9466465 (CA)

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Registry record

NPI: 1306408117
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2019
Record last updated: 1 Jul 2019

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.