| NPI | 1700032455 |
|---|---|
| Other Name | MARK PEREZ, M.D. |
| Entity Type | Organization |
| Authorized Contact | MARK PEREZ Supervisor 310-547-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 17929) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2011-03-22 |