Mark Perez Md

LBN: Mark Perez , M.D.
Mark Perez Md is an health care organization with primary practice located at 1366 W 7Th St Suite 4-B, San Pedro CA 90732-3500. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Mark Perez , M.D. can be contacted via phone (310) 547-2197, or through Baez, Maria E via phone (310) 547-2197.

Contact Information

Primary practice address
1366 W 7Th St Suite 4-B San Pedro CA 90732-3500
Phone: (310) 547-2197
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baez, Maria E RND DPM LAC
Phone: (310) 547-2197

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G67514 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X G067514 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21347 California

Profile Details

NPI number 1255639522
LBN Legal business name Mark Perez , M.D.
DBA Doing business as Mark Perez Md
Authorized official Baez, Maria E RND DPM LAC
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2011
Last updated Mar 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255639522 NPPES
California Other G67514 MEDICAL BOARD

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