Provider Demographics
NPI:1093870453
Name:PEREZ, CECILIA YVONNE (OD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:YVONNE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1149 S HILL ST
Mailing Address - Street 2:365
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-2212
Mailing Address - Country:US
Mailing Address - Phone:213-749-3461
Mailing Address - Fax:213-749-1618
Practice Address - Street 1:1149 S HILL ST
Practice Address - Street 2:365
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-2212
Practice Address - Country:US
Practice Address - Phone:213-749-3461
Practice Address - Fax:213-749-1618
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10219T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist