Jose Ignacio Perea Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48537 Issued in CA

Legal business name

JOSE IGNACIO PEREA INC

Practice address

12300 Wilshire Blvd. Ste#404
Los Angeles, CA 90025-0000

Phone

(310) 207-2272

Fax

(310) 207-2273

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jose PereaNPI 1407334683

Title

President

Phone

(310) 207-2272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jose Ignacio Perea

  • Endodontics
  • Los Angeles, CA
  • NPI 1407334683
  NPD (past) Authorized official

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1942536586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 WILSHIRE BLVD. STE# 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-207-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 WILSHIRE BLVD. STE#404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250000",
            "telephone_number": "310-207-2272",
            "fax_number": "310-207-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE IGNACIO PEREA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-207-2272",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.