Provider Demographics
NPI:1861859084
Name:PEREZ, CRISTINA ANGELA (MSN, RN, FNP)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ANGELA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MSN, RN, FNP
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Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:909-838-7978
Mailing Address - Fax:
Practice Address - Street 1:141 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-8705
Practice Address - Country:US
Practice Address - Phone:909-296-8800
Practice Address - Fax:909-296-8928
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95003660363LF0000X
CA950003660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95003660OtherFNP