Perez, Myrza R
Perez, Myrza R is an individual health care provider with primary practice located at 1451 Secret Ravine Pkwy Suite 150, Roseville CA 95661-6052. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Perez, Myrza R can be contacted via phone (916) 580-2412.Contact Information
Primary practice address
1451 Secret Ravine Pkwy Suite 150
Roseville CA 95661-6052
Phone: (916) 580-2412
Fax: (916) 580-2413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A96172 | California |
Profile Details
| NPI number | 1912919689 |
|---|---|
| LBN Legal business name | Perez, Myrza R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Dec 15th, 2021 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912919689 | NPPES |
| California | Other | A96172 | MEDICAL LICENSE |
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