Perens, Gregory
Perens, Gregory is an individual health care provider with primary practice located at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles CA 90095-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Perens, Gregory can be contacted via phone (310) 825-5296.Contact Information
Primary practice address
10833 Le Conte Ave 12-441 Mdcc
Los Angeles CA 90095-3075
Phone: (310) 825-5296
Fax: (310) 825-9524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A73878 | California |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | A73878 | California |
Profile Details
| NPI number | 1972530988 |
|---|---|
| LBN Legal business name | Perens, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jun 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972530988 | NPPES |
| California | MEDICAID | 00A738780 | |
| California | MEDICAID | GR0053510 |
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