Perez, Angel Guillen

Perez, Angel Guillen is an sole proprietor health care provider with primary practice located at 1721 N Wilmington Blvd , Wilmington CA 90744-1261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Angel Guillen can be contacted via phone (310) 835-1414.

Contact Information

Primary practice address
1721 N Wilmington Blvd Wilmington CA 90744-1261
Phone: (310) 835-1414
Fax: (310) 835-4050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G79348 California

Profile Details

NPI number 1477654440
LBN Legal business name Perez, Angel Guillen
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 14th, 2008 - about 17 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 1477654440 NPPES
California MEDICAID 00G793480

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