Provider Demographics
NPI:1235524836
Name:YANIRA PEREZ MD INC
Entity Type:Organization
Organization Name:YANIRA PEREZ MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-570-6920
Mailing Address - Street 1:850 S ATLANTIC BLVD
Mailing Address - Street 2:STE 305
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-6714
Mailing Address - Country:US
Mailing Address - Phone:626-570-6920
Mailing Address - Fax:626-956-0880
Practice Address - Street 1:850 S ATLANTIC BLVD
Practice Address - Street 2:STE 305
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6714
Practice Address - Country:US
Practice Address - Phone:626-570-6920
Practice Address - Fax:626-956-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty