Provider Demographics
NPI:1841728961
Name:PEREZ, ERICK (DC)
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:ERICK
Other - Middle Name:RENE
Other - Last Name:PEREZ MONTIEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3221 INDUSTRY DR
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-4013
Mailing Address - Country:US
Mailing Address - Phone:562-494-5300
Mailing Address - Fax:562-494-5300
Practice Address - Street 1:3221 INDUSTRY DR
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-4013
Practice Address - Country:US
Practice Address - Phone:562-494-5300
Practice Address - Fax:562-494-5300
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor