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
Phone: (310) 640-9911
Fax: (310) 322-8068
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1598812174 | NPPES |
| California | MEDICAID | 00A562660 |
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