Provider Demographics
NPI:1598771719
Name:PEREZ, MARGARET E (DC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18344 CLARK ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3505
Mailing Address - Country:US
Mailing Address - Phone:818-704-4754
Mailing Address - Fax:818-708-7902
Practice Address - Street 1:18344 CLARK ST
Practice Address - Street 2:SUITE 205
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3505
Practice Address - Country:US
Practice Address - Phone:818-704-4754
Practice Address - Fax:818-708-7902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17786111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT18610OtherI REALLY HAVE NO IDEA
CAT18610OtherI REALLY HAVE NO IDEA