05D0976874 CLIA NUMBER - ANNETT A CORONEL-PEREY, MD INC

Laboratory Demographics

CLIA Number: 05D0976874

Facility Name: ANNETT A CORONEL-PEREY, MD INC

Facility Address:
1045 W REDONDO BEACH BLVD,STE 100
GARDENA, CA
ZIP 90247
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Facility Phone Number: 310 532-5558

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558464818

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	05D0976874
LAB Type	Physician Office
Facility Name	ANNETT A CORONEL-PEREY, MD INC
Street	1045 W REDONDO BEACH BLVD,STE 100
City	GARDENA
State	CA
ZIP	90247
Phone	310 532-5558
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024