JORGE PEREZ MD LTD NPI 1093055675

NPI Information

  • NPI: 1093055675
  • Provider Name: JORGE PEREZ MD LTD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: SIERRA NEVADA CANCER CENTER
  • Address: 1154 EMERALD BAY RD
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (775) 883-3336

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NPI Details

JORGE PEREZ MD LTD is a hematology and oncology internal medicine in South Lake Tahoe, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. JORGE PEREZ MD LTD NPI is 1093055675. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sierra Nevada Cancer Center.

The provider's business location address is:

1154 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150-288
Phone: (775) 883-3336
Fax: (775) 883-3336

The provider's authorized official is Jorge Perez .
The authorized official title is President and has the following contact phone number (775) 883-3336.

The enumeration date for this NPI number is 2/19/2013 and was last updated on 2/19/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyC52554CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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