Provider Demographics
NPI:1558450684
Name:PERZ, DAVID DONNELL JR (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DONNELL
Last Name:PERZ
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:2591 W FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545
Mailing Address - Country:US
Mailing Address - Phone:951-766-4329
Mailing Address - Fax:951-766-4329
Practice Address - Street 1:2591 W FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-4615
Practice Address - Country:US
Practice Address - Phone:951-766-4329
Practice Address - Fax:951-766-8056
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2016-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8482207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA421633176OtherTIN
CA421633176OtherTIN