Perea, Jose Ignacio

Perea, Jose Ignacio is an individual health care provider with primary practice located at 12300 Wilshire Blvd Ste 404 , Los Angeles CA 90025-1061. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Perea, Jose Ignacio can be contacted via phone (310) 207-2272.

Contact Information

Primary practice address
12300 Wilshire Blvd Ste 404 Los Angeles CA 90025-1061
Fax: (424) 293-2623
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 48537 California

Profile Details

NPI number 1407334683
LBN Legal business name Perea, Jose Ignacio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407334683 NPPES
California MEDICAID 1942536586

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