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LUIS PEREZ M.D. A PROFESSIONAL CORPORATION NPI 1053343509


NPI Information

NPI: 1053343509
Provider Name: LUIS PEREZ, M.D., A PROFESSIONAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
716 E MISSION BLVD
SUITE D
POMONA, CA
ZIP 91766
Phone: (909) 865-2332
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LUIS PEREZ, M.D., A PROFESSIONAL CORPORATION is a family medicine in Pomona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LUIS PEREZ, M.D., A PROFESSIONAL CORPORATION NPI is 1053343509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

716 E MISSION BLVD
SUITE D
POMONA, CA
ZIP 91766-040
Phone: (909) 865-2332

The provider's authorized official is Luis J Perez .
The authorized official title is President/m.d. and has the following contact phone number (909) 865-2332.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 11/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG72538CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F23563MEDICARE UPIN
2W16887MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G725380MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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