Craig, Gloria Perez

Craig, Gloria Perez is an individual health care provider with primary practice located at 3565 Del Amo Blvd , Torrance CA 90503-1637. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Craig, Gloria Perez can be contacted via phone (310) 214-5723.

Contact Information

Primary practice address
3565 Del Amo Blvd Torrance CA 90503-1637
Phone: (310) 214-5723
Fax: (310) 793-3756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP19875 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 375381 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 375381 California

Profile Details

NPI number 1659681096
LBN Legal business name Craig, Gloria Perez
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2010
Last updated Feb 21st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659681096 NPPES
California Other P01376455 RR MEDICARE
California MEDICAID EFF: 7/15/14 - WILM RR MEDICARE
California MEDICAID EFF: 7/15/14 RR MEDICARE

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