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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255639522 | NPPES |
| California | Other | G67514 | MEDICAL BOARD |
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