Organization Active NPI

Jose Luis Perez MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1871705376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A74744 Issued in CA
Legal business name
JOSE LUIS PEREZ MD INC
Practice address
3000 E 1St Streest
Los Angeles, CA 90063
Phone
(818) 281-8312
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose Luis Perez, MD
Title
President
Phone
(818) 281-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A74744 CA Primary

Addresses

Primary practice location

3000 E 1St Streest
Los Angeles, CA 90063

Mailing address

4839 N Bonnie Cove Ave
Covina, CA 91724
Phone (818) 281-8312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871705376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 N BONNIE COVE AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91724",
            "telephone_number": "818-281-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E 1ST STREEST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "818-281-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LUIS PEREZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-281-8312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A74744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.