Provider Demographics
NPI:1609550771
Name:AURE, ANNA ERIKA PERLEZ
Entity Type:Individual
Prefix:
First Name:ANNA ERIKA
Middle Name:PERLEZ
Last Name:AURE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8141 2ND ST STE 206
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3644
Mailing Address - Country:US
Mailing Address - Phone:562-622-3614
Mailing Address - Fax:
Practice Address - Street 1:12121 EASTBROOK AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3106
Practice Address - Country:US
Practice Address - Phone:310-923-2425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025339363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care