| Dr Leslie Nicole Perez, OD | |
|
607 Donna Way, San Jacinto, CA 92583-5517 | |
| (951) 654-0803 | |
| Not Available |
| Full Name | Dr Leslie Nicole Perez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 607 Donna Way, San Jacinto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942920939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35228 (California) | Primary |
| Provider Name | Unicare Community Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265854061 PECOS PAC ID: 8426369067 Enrollment ID: O20150623001589 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslie Nicole Perez, OD 250 S Reno St Apt 21, Los Angeles, CA 90057-5501 Ph: (323) 384-7532 | Dr Leslie Nicole Perez, OD 607 Donna Way, San Jacinto, CA 92583-5517 Ph: (951) 654-0803 |
Herlyn Mcintosch Leiva, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23119 Soboba Rd, San Jacinto, CA 92583 Phone: 951-654-0803 | |
Dr. Nha-han Nguyen-deo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23119 Soboba Rd, San Jacinto, CA 92583 Phone: 909-654-0803 | |
Dr. Cecilia Tsai, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23119 Soboba Rd, San Jacinto, CA 92583 Phone: 951-654-0803 |