Mark Perez MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G067614 Issued in CA

Legal business name

MARK PEREZ MD

Practice address

1350 W 6TH St
2ND Floor #7
San Pedro, CA 90732

Phone

(310) 832-1126

Fax

(310) 831-3000

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark A Perez, MD

Title

Physician

Phone

(310) 832-1126

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003979162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "address_2": "2ND FLOOR #7",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "310-832-1126",
            "fax_number": "310-831-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "address_2": "2ND FLOOR #7",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "310-832-1126",
            "fax_number": "310-831-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PEREZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-832-1126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G067614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Mares, PH.D.
• Maria Elena Newcomer DDS Inc
• Marine Therapeutic
• Yvonne Marinkovich, D.C.
• Mark Perez , M.D.
• Donna Revae Mark
• Lawrence Marshall, O.D.
• Daniel Martin
• David R Martin, D.D.S.
• Elmer Garnel Martin, DMD

• Family Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.