Provider Demographics
NPI:1780730127
Name:PEREZ, OSCAR ARMANDO
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:ARMANDO
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HANCOCK ST. #1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2619
Mailing Address - Country:US
Mailing Address - Phone:415-866-4486
Mailing Address - Fax:415-346-2029
Practice Address - Street 1:459 FULTON ST.
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4364
Practice Address - Country:US
Practice Address - Phone:415-966-5770
Practice Address - Fax:888-441-3102
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT28708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist