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PEREZ & PEREZ MEDICAL CORP NPI 1457330888


NPI Information

NPI: 1457330888
Provider Name: PEREZ & PEREZ MEDICAL CORP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0564825

Address:
630 N 13TH AVE
STE A
UPLAND, CA
ZIP 91786
Phone: (909) 985-7257
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PEREZ & PEREZ MEDICAL CORP is a pediatrics in Upland, CA. The provider is 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. PEREZ & PEREZ MEDICAL CORP NPI is 1457330888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 N 13TH AVE
STE A
UPLAND, CA
ZIP 91786-975
Phone: (909) 985-7257
Fax: (909) 985-2527

The provider's authorized official is Glenn M Perez .
The authorized official title is Ceo and has the following contact phone number (909) 985-7257.

The CLIA number assigned to this NPI record is 05D0564825 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsA4649ACALIFORNIAYes

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: 4/28/2024

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