NPIMap

Organization Active NPI

Fredy Perez OD a Professional Corp

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1891995403
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6315T Issued in CA
Legal business name
FREDY PEREZ OD A PROFESSIONAL CORP
Practice address
1509 W Sunset Blvd
Los Angeles, CA 90026-3319
Phone
(213) 250-5768
Fax
(213) 250-5773
NPI assigned
Jul 21, 2007
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Fredy Perez, O.D.NPI 1962424135
Title
President
Phone
(213) 250-5768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6315T CA Primary

Addresses

Primary practice location

1509 W Sunset Blvd
Los Angeles, CA 90026-3319

Mailing address

1509 W Sunset Blvd
Los Angeles, CA 90026-3319
Phone (213) 250-5768

National Provider Directory

National Provider Directory

Locations

1509 W Sunset Blvd
Los Angeles, CA 90026
Phone (213) 250-5768

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1891995403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263319",
            "telephone_number": "213-250-5768",
            "fax_number": "213-250-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263319",
            "telephone_number": "213-250-5768",
            "fax_number": "213-250-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDY PEREZ OD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-21",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FREDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-250-5768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "6315T",
            "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 May 7, 2008; 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.