Fredy Perez OD a Professional Corp

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

Organization subpart

No

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

Authorized official

Name

Dr. Fredy Perez, O.D.

Title

President

Phone

(213) 250-5768

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Stephanie Rodriguez, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1821599358
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0063150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Frederick
• Linda Raelene Frederico, CRNA
• Fredia Isis Cadavid
• Fredrick Butler II, MD, Inc
• Freds DME Supply LLC
• Free From Hardship la Inc
• Free N One a Drug and Alcohol Free Program
• Free N One, a Drug and Alcohol Free Program
• Anastasia Jade Free, BCBA
• Lisa Louise Freeark, M.S.W.

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• 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.