| NPI | 1255639522 |
|---|---|
| Doing Business As | MARK PEREZ MD |
| Entity Type | Organization |
| Authorized Contact | MARIA E BAEZ CEO 310-547-2197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: CA G067514) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G67514) |
| 363A00000X Physician Assistant (Licence: CA PA21347) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2014-03-06 |