| Mark Perez , M.d. | |
|
1366 W 7th St Suite 4-b San Pedro CA 90732-3500 | |
| (310) 547-2197 | |
| Not Available |
| Full Name | Mark Perez , M.d. |
|---|---|
| Speciality | Clinic/center |
| Location | 1366 W 7th St, San Pedro, California |
| Authorized Official Name and Position | Maria E Baez (CEO) |
| Authorized Official Contact | 3105472197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Perez , M.d. 1366 W. 7th St Suite 4-b San Pedro CA 90732-3500 Ph: (310) 547-2197 | Mark Perez , M.d. 1366 W 7th St Suite 4-b San Pedro CA 90732-3500 Ph: (310) 547-2197 |
| NPI Number | 1255639522 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255639522 | NPI | - | NPPES |
| G67514 | Other | CA | MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G67514 (California) | Secondary |
| 363A00000X | Physician Assistant | PA21347 (California) | Secondary |
| 261Q00000X | Clinic/center | G067514 (California) | Primary |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Dr Mona Shah Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 | |
Total Body Advanced Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 789 W 9th St, San Pedro, CA 90731 Phone: 310-519-1557 Fax: 310-519-0330 | |
Phillip E Schoenwetter Md , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 787 W 9th St, San Pedro, CA 90731 Phone: 310-832-0258 Fax: 310-833-9825 | |
Allan I Larner Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 S Beacon St, San Pedro, CA 90731 Phone: 760-468-4656 Fax: 760-723-3223 | |
Stephen D. Taus, M. D. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1366 W 7th St, San Pedro, CA 90732 Phone: 310-548-3078 |