Perez, Luis A

Perez, Luis A is an individual health care provider with primary practice located at 390 N Sepulveda Blvd Suite 1000, El Segundo CA 90245-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Luis A can be contacted via phone (310) 640-9911.

Contact Information

Primary practice address
390 N Sepulveda Blvd Suite 1000 El Segundo CA 90245-4401
Fax: (310) 322-8068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A56266 California

Profile Details

NPI number 1598812174
LBN Legal business name Perez, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated May 4th, 2010 - about 14 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 1598812174 NPPES
California MEDICAID 00A562660

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