Provider Demographics
NPI:1093478240
Name:PEREZ SALEHY MEDICAL, APC
Entity Type:Organization
Organization Name:PEREZ SALEHY MEDICAL, APC
Other - Org Name:PEREZ SALEHY INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ ANDREU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-413-8891
Mailing Address - Street 1:2230 LYNN RD STE 330
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1989
Mailing Address - Country:US
Mailing Address - Phone:805-309-0525
Mailing Address - Fax:
Practice Address - Street 1:1827 LOS FELIZ DR APT 108
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-5074
Practice Address - Country:US
Practice Address - Phone:901-413-8891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty